NPIMap

Organization Active NPI

McAlester Regional Dialysis Center, LLC

  • Clinic/Center
  • McAlester, OK
National Provider Identifier
1104922558
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MCALESTER REGIONAL DIALYSIS CENTER, LLC
Practice address
2 E Clark Bass Blvd
Suite 101
McAlester, OK 74501-4210
Phone
(918) 421-8373
Fax
(918) 421-8668
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Beverly G Swadley, RN
Title
Nurse Manager
Phone
(918) 421-8373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2 E Clark Bass Blvd
Suite 101
McAlester, OK 74501-4210

Mailing address

2 E Clark Bass Blvd
Suite 101
McAlester, OK 74501-4210
Phone (918) 421-8373

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104922558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E CLARK BASS BLVD",
            "address_2": "SUITE 101",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014210",
            "telephone_number": "918-421-8373",
            "fax_number": "918-421-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E CLARK BASS BLVD",
            "address_2": "SUITE 101",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014210",
            "telephone_number": "918-421-8373",
            "fax_number": "918-421-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCALESTER REGIONAL DIALYSIS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWADLEY",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "NURSE MANAGER",
        "authorized_official_telephone_number": "918-421-8373",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.