Clough Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

CLOUGH DIALYSIS LLC

Practice address

6116 Sports Village Rd
Frisco, TX 75035

Phone

(972) 624-7302

Fax

(972) 624-7973

NPI assigned

Aug 24, 2015

Organization subpart

No

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

Authorized official

Name

John Winstel

Title

Chief Accounting Officer

Phone

(253) 733-4501

Specialties & licenses 1

Addresses

Other names 1

• Frisco Dialysis Doing business as

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1457728768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-341-6472",
            "fax_number": "866-241-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 SPORTS VILLAGE RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "972-624-7302",
            "fax_number": "972-624-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOUGH DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "WINSTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4501"
    },
    "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": "Frisco Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Frisco Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Luke Clinard, LMFT, LPC
• Lauren Sophia Cline, MD
• Clinic 21 of Collin County, PLLC
• Tatia Close, LMFT
• Clough Dialysis LLC
• Clover Family Medicine, PLLC
• Cobalt Counseling, LLC
• Cobb Health Care Services, Inc
• Casey Cobb, M.A. LPC
• William B Cobb, M.D.

• All providers in Frisco, TX
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.