Organization Active NPI

SNF & Community Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bay City, MI
National Provider Identifier
1396587960
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SNF & COMMUNITY DIALYSIS LLC
Practice address
200 S Wenona St Ste 104
Bay City, MI 48706-8831
Phone
(810) 223-1938
Fax
(989) 355-0730
NPI assigned
Jun 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Joshua Dipzinski
Title
Ceo
Phone
(810) 223-1938

Specialties & licenses 1

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

Addresses

Primary practice location

200 S Wenona St Ste 104
Bay City, MI 48706-8831

Mailing address

13044 Monington CT
Fenton, MI 48430-1191
Phone (810) 223-1938

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1396587960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13044 MONINGTON CT",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301191",
            "telephone_number": "810-223-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S WENONA ST STE 104",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068831",
            "telephone_number": "810-223-1938",
            "fax_number": "989-355-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNF & COMMUNITY DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "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": "810-223-1938"
    },
    "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 Bay City, MI

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.