Dialysis Newco LLC

Primary specialty

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

Legal business name

DIALYSIS NEWCO LLC

Doing business as

DSI Watervilet Dialysis

Practice address

8816 Red Arrow Hwy
Watervliet, MI 49098-8536

Phone

(269) 463-3719

Fax

(269) 463-3901

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Tammy J Baker

Title

Managed Care Coordinator

Phone

(615) 234-1188

Specialties & licenses 1

Addresses

Other names 1

• DSI Watervilet Dialysis Doing business as

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1689940116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 CHURCH ST",
            "address_2": "SUITE 1900",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192301",
            "telephone_number": "615-777-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8816 RED ARROW HWY",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490988536",
            "telephone_number": "269-463-3719",
            "fax_number": "269-463-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS NEWCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGED CARE COORDINATOR",
        "authorized_official_telephone_number": "615-234-1188",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DSI Watervilet Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DSI Watervilet Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Hospital (Bangor Medical Center)
• Jonathon Andrew Covyeou, PHARM D
• Andrew A Dehaven, D.C.
• Weston Dehaven, DC
• Diagnostic Services, LLC
• Dsi Watervliet, LLC (U.S. Renal Care Watervliet Dialysis)
• Flowing Waters Emergency Physicians
• Denise A Frazee, M.A., CCC-SLP
• Klaudia Freislinger
• Maholla Fuller, MA, CCC-SLP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Watervliet, MI
• Providers in Watervliet, MI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.