Active NPI
New Springs Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Salem, IN
National Provider Identifier
1376784579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- NEW SPRINGS DIALYSIS LLC
- Practice address
- 1201 N Jim Day Rd
Ste 103
Salem, IN 47167-7219 - Phone
- (812) 883-0207
- Fax
- (812) 883-0130
- NPI assigned
- Mar 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James K Hilger
- Title
- Chief Accounting Officer
- Phone
- (253) 733-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1201 N Jim Day Rd
Ste 103
Salem, IN 47167-7219
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Phone (615) 238-3028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200970470 A | Medicaid | IN |
Other names 1
- Salem Dialysis Center
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bourbonnais, IL
- NPI 1073675138
Member Of
Locations
1201 N Jim Day Rd
Ste 103
Salem, IN 47167
Phone (812) 883-0207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466553600000",
"number": "1376784579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "L&C DEPT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569",
"telephone_number": "615-238-3028",
"fax_number": "800-245-9831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N JIM DAY RD",
"address_2": "STE 103",
"city": "SALEM",
"state": "IN",
"postal_code": "471677219",
"telephone_number": "812-883-0207",
"fax_number": "812-883-0130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW SPRINGS DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-18",
"last_updated": "2016-06-22",
"status": "A",
"authorized_official_last_name": "HILGER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
"authorized_official_telephone_number": "253-733-4500"
},
"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": "200970470 A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Salem Dialysis Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salem, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.