Organization Active NPI

Accesscare Dialysis

Doing business as AccessCare Eastland Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Eastland, TX
National Provider Identifier
1801139936
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.