Southeastern Indiana Dialysis LLC

Primary specialty

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

Legal business name

SOUTHEASTERN INDIANA DIALYSIS LLC

Doing business as

Rush County Dialysis

Practice address

1400 N Cherry St
Rushville, IN 46173-1097

Phone

(765) 932-4985

Fax

(765) 932-4716

NPI assigned

Nov 17, 2008

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

(283) 382-1919

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rush County Dialysis Doing business as

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1811141930",
    "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": "1400 N CHERRY ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731097",
            "telephone_number": "765-932-4985",
            "fax_number": "765-932-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN INDIANA DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "283-382-1919"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200942310 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rush County Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steve R Sickbert, O.D.
• Megan Simon, FNP-C
• Thomas V Skeen, CRNA
• Donald Paul Snyder, M.D.
• Breanna Sorrell
• Susan Spaeth
• Melissa Dawn Sprinkle, PSY.D.
• Daniel Stahl, D.O.
• Mackenzie Stephens
• Donald Philip Stickney, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Rushville, IN
• Providers in Rushville, IN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.