Cordele Dialysis Center LLC

Primary specialty

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

Legal business name

CORDELE DIALYSIS CENTER LLC

Doing business as

Cordele Dialysis Center

Practice address

1013 E 16TH Ave
Cordele, GA 31015-1539

Phone

(229) 273-0163

NPI assigned

Nov 8, 2007

Last updated

May 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jim Hilger

Title

Vice President

Phone

(253) 382-1919

Specialties & licenses 1

Addresses

Other names 1

• Cordele Dialysis Center Doing business as

Member of 1

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

• Total Renal Care Inc

  dba Emporia Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Emporia, KS
  • NPI 1033528708

  Member Of

  NPD member

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1770763567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "STE 400 L&C",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4521",
            "fax_number": "866-594-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 E 16TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310151539",
            "telephone_number": "229-273-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDELE DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "253-382-1919"
    },
    "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": "Cordele Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April Coleene Coffee, M. ED. CCC-SLP
• Derrick Deandre Collier
• Elizabeth Anne Cook, OTR/L
• Waretta Sawyer Cooks, NP
• Cordele 2025 LLC
• Cordele Family Medicine PC
• Cordele Health and Rehabilitation Center, Inc.
• Cordele Internal Medicine
• Cordele Optical Disp., Inc.
• Cordele Personal Care Home

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Cordele, GA
• Providers in Cordele, GA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.