NPIMap

Organization Active NPI

Community/Accesscare Indiana Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1043684061
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
COMMUNITY/ACCESSCARE INDIANA DIALYSIS, LLC
Practice address
8315 E 56TH St
Suite 120
Indianapolis, IN 46216-1074
Phone
(317) 621-3773
Fax
(512) 328-0779
NPI assigned
Nov 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
John Rchard Hedrick, JD
Title
Executive Vice President
Phone
(512) 680-0524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

8315 E 56TH St
Suite 120
Indianapolis, IN 46216-1074

Mailing address

8315 E 56TH St
Suite 120
Indianapolis, IN 46216-1074
Phone (317) 621-3773

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1043684061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 E 56TH ST",
            "address_2": "SUITE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462161074",
            "telephone_number": "317-621-3773",
            "fax_number": "512-328-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8315 E 56TH ST",
            "address_2": "SUITE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462161074",
            "telephone_number": "317-621-3773",
            "fax_number": "512-328-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY/ACCESSCARE INDIANA DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "HEDRICK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RCHARD",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "512-680-0524",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.