Premier Dialysis Service West Michigan LLC

Primary specialty

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

Legal business name

PREMIER DIALYSIS SERVICE WEST MICHIGAN LLC

Practice address

627 Mills St
Kalamazoo, MI 49001-2532

Phone

(888) 543-6390

NPI assigned

Jul 20, 2023

Organization subpart

No

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

Authorized official

Name

Joshua Dipzinski

Title

Ceo

Phone

(888) 543-6390

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Premier Dialysis Service West Michigan LLCCCN 232756

Ownership

Profit

Certified

Oct 24, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Oliver Chambers Songlingco, M.D.

  • Nephrology Physician
  • Saint Joseph, MI
  • NPI 1891887964

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1285314617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 MILLS ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 MILLS ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012532",
            "telephone_number": "888-543-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DIALYSIS SERVICE WEST MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "DIPZINSKI",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-543-6390"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Bree Pratt, LMSW
• Kennedy Pratt
• Precious Care Assisted Living LLC
• Precious Companions Homecare LLC
• Premier Cardiology PC
• Premier Medical Care
• Premier Medical Care P C
• Premier Medical Care PC
• Premier Medical Care PC
• Premier Vein PLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.