NPIMap

Organization Active NPI

Strower Dialysis LLC

Doing business as Edgemont Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • East Saint Louis, IL
National Provider Identifier
1801386586
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
STROWER DIALYSIS LLC
Doing business as
Edgemont Dialysis
Practice address
8 Vieux Carre Dr
East Saint Louis, IL 62203
Phone
(618) 398-3809
Fax
(618) 398-3881
NPI assigned
May 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Authorized official

Name
James K Hilger
Title
Chief Accounting Officer
Phone
(253) 733-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

8 Vieux Carre Dr
East Saint Louis, IL 62203

Mailing address

5200 Virginia Way
Brentwood, TN 37027-7569
Phone (615) 238-3136

Other names 1

  • Edgemont Dialysis Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1801386586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-238-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 VIEUX CARRE DR",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "62203",
            "telephone_number": "618-398-3809",
            "fax_number": "618-398-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STROWER DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4500"
    },
    "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": "Edgemont Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Saint Louis, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.