NPIMap

Organization Active NPI

Meadow Dialysis Facility, Inc.

Doing business as Robinwood Dialysis Facility

  • Clinic/Center
  • Hagerstown, MD
National Provider Identifier
1396716130
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
E2627 Issued in MD
Legal business name
MEADOW DIALYSIS FACILITY, INC.
Doing business as
Robinwood Dialysis Facility
Practice address
11110 Medical Campus Rd
Suite 149
Hagerstown, MD 21742-6700
Phone
(240) 313-9620
Fax
(240) 313-9630
NPI assigned
Jan 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Susan H. McKee
Title
Administrator
Phone
(301) 797-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X E2627 MD Primary

Addresses

Primary practice location

11110 Medical Campus Rd
Suite 149
Hagerstown, MD 21742-6700

Mailing address

12931 Oak Hill Ave
Hagerstown, MD 21742-2914
Phone (301) 797-2311

Other identifiers 1

IdentifierTypeStateIssuer
E2627OtherMDMARYLAND LICENSE #

Other names 1

  • Robinwood Dialysis Facility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Meadow Dialysis Facility Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396716130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12931 OAK HILL AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422914",
            "telephone_number": "301-797-2311",
            "fax_number": "301-733-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD",
            "address_2": "SUITE 149",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426700",
            "telephone_number": "240-313-9620",
            "fax_number": "240-313-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW DIALYSIS FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-797-2311"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "E2627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND LICENSE #",
            "identifier": "E2627",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robinwood Dialysis Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hagerstown, MD

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.