Active NPI
Bladon Dialysis LLC
Doing business as Dialysis Center of Hutchinson
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hutchinson, KS
National Provider Identifier
1447542865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- BLADON DIALYSIS LLC
- Doing business as
- Dialysis Center of Hutchinson
- Practice address
- 1901 N Waldron St
Hutchinson, KS 67502-1129 - Phone
- (620) 728-0440
- Fax
- (620) 728-0499
- NPI assigned
- May 3, 2011
- Last updated
- Aug 21, 2024
- 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
- Samuel Wey
- Title
- VP Licensure & Certification
- Phone
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1901 N Waldron St
Hutchinson, KS 67502-1129
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other names 1
- Dialysis Center of Hutchinson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110823000575 | KS | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 7618147067 | Practice locations: Hutchinson, KS |
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Hutchinson Clinic Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Hutchinson, KS
- NPI 1386619682
Member Of
-
- Psychiatric Hospital Unit
- Hutchinson, KS
- NPI 1033141148
Member Of
-
dba Emporia Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Emporia, KS
- NPI 1033528708
Member Of
Locations
1901 N Waldron St
Hutchinson, KS 67502
Phone (620) 669-2612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724198400000",
"number": "1447542865",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 N WALDRON ST",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021129",
"telephone_number": "620-728-0440",
"fax_number": "620-728-0499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLADON DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-03",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A",
"authorized_official_last_name": "WEY",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
"authorized_official_telephone_number": "615-341-6641"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dialysis Center of Hutchinson",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Dialysis Center of Hutchinson",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.