NPIMap

Organization Active NPI

Bagby Dialysis LLC

Doing business as Henry County Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Abbeville, AL
National Provider Identifier
1497099329
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
S3401 Issued in AL
Legal business name
BAGBY DIALYSIS LLC
Doing business as
Henry County Dialysis
Practice address
671 Ozark Rd
Abbeville, AL 36310-2629
Phone
(334) 585-0131
Fax
(334) 585-0843
NPI assigned
Nov 15, 2012
Last updated
Apr 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Authorized official

Name
John D Winstel
Title
Chief Accounting Officer
Phone
(253) 733-4501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X S3401 AL Primary

Addresses

Primary practice location

671 Ozark Rd
Abbeville, AL 36310-2629

Mailing address

5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Phone (615) 320-4268

Other names 1

  • Henry County Dialysis Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Renal Treatment Centers- Southeast LP138 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

671 Ozark Rd
Abbeville, AL 36310
Phone (334) 585-0131

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1497099329",
    "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",
            "telephone_number": "615-320-4268",
            "fax_number": "877-238-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 OZARK RD",
            "city": "ABBEVILLE",
            "state": "AL",
            "postal_code": "363102629",
            "telephone_number": "334-585-0131",
            "fax_number": "334-585-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAGBY DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "WINSTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "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": "AL",
            "license": "S3401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry County Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Henry County Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abbeville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.