Bladon Dialysis LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hutchinson, KS
NPI 1447542865 · NPPES record last updated Aug 21, 2024
Key facts
- NPI
- 1447542865
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- BLADON DIALYSIS LLC
- Practice address
- 1901 N Waldron St
Hutchinson, KS 67502-1129 - Phone
- (620) 728-0440
- Fax
- (620) 728-0499
- NPI assigned
- May 3, 2011
- Organization subpart
- No
Authorized official
- Name
- Samuel Wey
- Title
- VP Licensure & Certification
- Phone
- (615) 341-6641
Member of 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200750890A | Medicaid | KS |
Other names
- Dialysis Center of Hutchinson
Other providers in Hutchinson, KS
- Birth & Women'S Health Center
- Birth & Women'S Health Center
- Daniel Bishop
- Nataliya Biskup
- Bradley Alan Blackburn
- Shiloh Blasdel
- Jenessa Renea Blew
- Angela R Boice
- Clinton Boor
- James William Bothwell
All providers in Hutchinson, KS · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.