Southeastern Indiana Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

SOUTHEASTERN INDIANA DIALYSIS LLC

Doing business as

North Vernon Dialysis

Practice address

2340 North State Highway 7
North Vernon, IN 47265-7183

Phone

(812) 352-8150

Fax

(812) 352-8204

NPI assigned

Jul 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jim Hilger

Title

Vice President

Phone

(253) 382-1919

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Vernon Dialysis Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1043475312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "STE 400 L&C",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4521",
            "fax_number": "866-594-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 NORTH STATE HIGHWAY 7",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472657183",
            "telephone_number": "812-352-8150",
            "fax_number": "812-352-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN INDIANA DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "253-382-1919"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200945790A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Vernon Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott L Slivka, MD
• Heidi Smith, CPNP-PC
• Emily L Sommers, LCSW
• Southeast Indiana Mental Health Professionals, LLC
• Southeast Indiana Mental Health Professionals, LLC
• Southern Indiana OBGYN
• St Vincent Jennings Hospital Inc
• St Vincent Jennings Hospital, Inc
• St. Vincent Jennings Hospital, Inc
• St. Vincent Jennings Hospital, Inc.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in North Vernon, IN
• Providers in North Vernon, IN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.