NPIMap

Organization Active NPI

Flint Hills Dialysis of Junction City

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Junction City, KS
National Provider Identifier
1184008856
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
FLINT HILLS DIALYSIS OF JUNCTION CITY
Practice address
1110 Saint Marys Rd
Ste 101
Junction City, KS 66441-4176
Phone
(785) 565-9500
Fax
(785) 565-9595
NPI assigned
Jul 13, 2015
Organization subpart
Yes
Parent organization
FLINT HILLS DIALYSIS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Mr. Imad Bedros
Title
Administrator
Phone
(785) 565-9500

Specialties & licenses 1

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

Addresses

Primary practice location

1110 Saint Marys Rd
Ste 101
Junction City, KS 66441-4176

Mailing address

1133 College Ave
B100
Manhattan, KS 66502-2770
Phone (785) 565-9500

National Provider Directory

National Provider Directory
Tax ID family
Flint Hills Dialysis of Junction City3 organizations share this tax ID, including this one
Part of
Flint Hills Dialysis of Junction City

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1110 Saint Marys Rd
Ste 101
Junction City, KS 66441
Phone (785) 223-5555

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1184008856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE",
            "address_2": "B100",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022770",
            "telephone_number": "785-565-9500",
            "fax_number": "785-565-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SAINT MARYS RD",
            "address_2": "STE 101",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664414176",
            "telephone_number": "785-565-9500",
            "fax_number": "785-565-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT HILLS DIALYSIS OF JUNCTION CITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLINT HILLS DIALYSIS, LLC",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "BEDROS",
        "authorized_official_first_name": "IMAD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "785-565-9500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Junction City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.