Woodville Dialysis Center LLP

Primary specialty

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

Legal business name

WOODVILLE DIALYSIS CENTER LLP

Practice address

712 W. Bluff St
Woodville, TX 75979-5132

Phone

(409) 331-1500

Fax

(409) 331-1501

NPI assigned

Oct 11, 2006

Last updated

Jan 10, 2023By 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

Sara Anne Brady

Title

Chief Nursing Officer

Phone

(208) 371-7878

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1831288646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 W BLUFF ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759795132",
            "telephone_number": "409-331-1500",
            "fax_number": "409-331-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 W. BLUFF ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759795132",
            "telephone_number": "409-331-1500",
            "fax_number": "409-331-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODVILLE DIALYSIS CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "208-371-7878"
    },
    "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": "185043002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcella Marie Wiggins, ME.D., LPC
• Allen C. Williamson Jr., D.O.
• Cheri Woodard, OT
• Woodsville Dentistry PLLC (All Needz Dental)
• Woodville a.L. Home LLC (The Orchard Assisted Living)
• Woodville Eyecare PLLC
• Woodville Health Care Center LTD. Co (Woodville Health and Rehab Center)
• Woodville I Enterprises, LLC (The Orchard)
• Woodville II Enterprises, LLC (Dogwood Trails Manor)
• Woodville Isd

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Woodville, TX
• Providers in Woodville, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.