Active NPI
Accesscare Dialysis
Doing business as AccessCare Eastland Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Eastland, TX
National Provider Identifier
1801139936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- ACCESSCARE DIALYSIS
- Doing business as
- AccessCare Eastland Dialysis
- Practice address
- 2300 West Commerce Street
Eastland, TX 76448 - Phone
- (254) 629-8858
- Fax
- (254) 629-3600
- NPI assigned
- Mar 27, 2013
- Last updated
- Feb 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John R Hedrick, JD
- Title
- Executive Vice President
- Phone
- (512) 328-6919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
2300 West Commerce Street
Eastland, TX 76448
Mailing address
3267 Bee Cave Road
Suite 107-Pmb102
Austin, TX 78746
Phone (512) 328-6919
Other names 1
- AccessCare Eastland Dialysis
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Fort Worth, TX
- NPI 1104886555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391558400000",
"number": "1801139936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3267 BEE CAVE ROAD",
"address_2": "SUITE 107-PMB102",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78746",
"telephone_number": "512-328-6919",
"fax_number": "512-328-0779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 WEST COMMERCE STREET",
"city": "EASTLAND",
"state": "TX",
"postal_code": "76448",
"telephone_number": "254-629-8858",
"fax_number": "254-629-3600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCESSCARE DIALYSIS",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-27",
"last_updated": "2014-02-05",
"status": "A",
"authorized_official_last_name": "HEDRICK",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "512-328-6919",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "JD"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AccessCare Eastland Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eastland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.