JACKSON DIALYSIS AND KIDNEY CENTER (NPI# 1962696047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962696047 |
Entity Type | Organization |
Organization Name | JACKSON DIALYSIS AND KIDNEY CENTER |
Practice Address |
500 Mccarty Ln Jackson OH 45640 |
Mailing Address |
122 Saint Christopher Dr Ashland KY 41101-7016 |
Practice Telephone | 7402861600 |
Practice Fax Number | 7402861615 |
Enumeration Date | 2007-08-31 |
Last Update Date | 2007-08-31 |
Authorized Official Name | MANISH JAIN (BUSINESS MANAGER) |
Authorized Official Telephone | 6068360202 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
Street Address |
500 MCCARTY LN |
City | JACKSON |
State | OH |
Zip Code | 45640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548489149 | Synergy Dialysis Associates, LLC | Clinic/Center | 500 Mccarty Ln, Jackson, OH 45640 | 2007-04-24 |
1215288220 | Total Renal Care Inc | Clinic/Center | 500 Mccarty Ln, Jackson, OH 45640-7019 | 2012-10-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275131047 | Karen Angela Hill | Homemaker | 399 Florence Ave., Jackson, OH 45640 | 2020-10-14 |
1639609183 | Katherine Elizabeth Kazee | Pharmacist | 530 E Main St., Jackson, OH 45640 | 2017-06-18 |
1477080703 | Mary Jane Adams | Registered Nurse | 10 Lady Avenue, Jackson, OH 45640 | 2017-05-17 |
1669721833 | David L Weaver | Counselor | 731 E. Main Street, Suite 16, Jackson, OH 45640 | 2012-09-04 |
1710297387 | Cheryl Renee Mccarty | Physical Therapy Assistant | 269 E South Street, Jackson, OH 45640 | 2010-10-18 |
1619203536 | Connie Rae Klein-ferguson | Registered Nurse | 388 Webb Pierce Road, Jackson, OH 45640 | 2009-10-28 |
1114194347 | Community Action Committee of Pike County | Clinic/Center | 14590 St Rt 93, Family Health Center Jackson, Jackson, OH 45640 | 2008-05-16 |
1770629487 | Lance Family Medicine | Family Medicine | 212 Pearl Street Suite E, Jackson, OH 45640 | 2007-01-29 |
1023176104 | Amber Nichole Pratt | Speech-Language Pathologist | 822 Sellars Dr, Jackson, OH 45640 | 2006-12-04 |
1962438051 | Heartland of Jackson Oh, LLC | Skilled Nursing Facility | 8668 State Route, #93, Jackson, OH 45640 | 2006-06-23 |
Find all providers in zip 45640 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
1417481755 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 656 N State St, Jackson, MS 39202-3303 | 2017-04-13 |
1619274610 | Total Renal Care Inc | Clinic/Center | 46 Harts Bridge Road, Jackson, TN 38301-0000 | 2011-02-28 |
1770711509 | Fresenius Medical Care Kidney and Hypertension, LLC | Clinic/Center | 128 N Elm Ave, Jackson, MI 49202-3502 | 2009-07-01 |
1720220213 | Ara-jackson Dialysis LLC | Clinic/Center | 3 Acy Ave, Suite B, Jackson, OH 45640-9561 | 2009-03-30 |
1912166778 | Bio-medical Applications of Ohio Inc | Clinic/Center | 820 Veterans Dr, Jackson, OH 45640-2411 | 2008-06-06 |
1548489149 | Synergy Dialysis Associates, LLC | Clinic/Center | 500 Mccarty Ln, Jackson, OH 45640 | 2007-04-24 |
1245324045 | Rai Care Centers of Michigan I, LLC | Clinic/Center | 200 South East Ave., Jackson, MI 49201-2414 | 2006-10-03 |
1013019215 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1550 Highway 15 S Ste 30, Jackson, KY 41339-9221 | 2006-09-01 |
1518079359 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 2995 Race St, Jackson, LA 70748-5839 | 2006-08-31 |
Find all providers in JACKSON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.