Junction City Dialysis, LLC

Primary specialty

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

Legal business name

JUNCTION CITY DIALYSIS, LLC

Practice address

702 Caroline Ave
Junction City, KS 66441-5223

Phone

(785) 827-7261

NPI assigned

Aug 26, 2020

Organization subpart

No

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

Authorized official

Name

Brian S Pavey, DONPI 1447361373

Title

Owner

Phone

(785) 827-7261

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

End-stage renal disease facility certification: CCN 172575

Legal name

JUNCTION CITY DIALYSIS

Certification status

Active

Provider type (POS)

End-stage renal disease facility

Participating since

Mar 8, 2021

Last certification

Mar 8, 2021

Ownership / control type

For Profit

Multi-facility organization

FRESENUIS KIDNEY CARE

Facility address

702 Caroline Avenue
Junction City, KS 66441

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian S Pavey, DO

  • Nephrology Physician
  • Salina, KS
  • NPI 1447361373
  NPD (past) Authorized official

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1740893932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 E CRAWFORD ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015103",
            "telephone_number": "785-827-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 CAROLINE AVE",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664415223",
            "telephone_number": "785-827-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNCTION CITY DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "PAVEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-827-7261",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Elizebeth Jones
• Kathryn Anne Jones
• Nola Jones, LCMFT
• Vanessa S. Jones, LMSW
• Lori Marie Jordan, APRN
• Junction City Family Dental Care L.L.C.
• Junction City Family Dentistry, LLC
• Junction City Usd 475
• Koryn Lorainne Kalusniak
• Kansas City Vamc

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Junction City, KS
• Providers in Junction City, KS by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.