Tillamook Dialysis Center, LLC

Primary specialty

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

License

394017 Issued in OR

Legal business name

TILLAMOOK DIALYSIS CENTER, LLC

Doing business as

U.S. Renal Care Tillamook Dialysis

Practice address

1000 3Rd St
Tillamook, OR 97141-3430

Phone

(503) 842-0444

Fax

(503) 842-8244

NPI assigned

Feb 2, 2006

Last updated

Nov 25, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

U.S. RENAL CARE, INC.As reported in NPPES

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

Authorized official

Name

Thomas L. Weinberg

Title

Authorized Official

Phone

(214) 736-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• U.S. Renal Care Tillamook Dialysis Doing business as

Part of

US Renal Care Inc

Locations

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1841262060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WORLD TRADE CTR",
            "address_2": "STE 2500",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908310002",
            "telephone_number": "562-495-8075",
            "fax_number": "562-495-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 3RD ST",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413430",
            "telephone_number": "503-842-0444",
            "fax_number": "503-842-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLAMOOK DIALYSIS CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2006-02-02",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "OR",
            "license": "394017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275423",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Tillamook Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffani a. Long DDS (Farmington Dental Center)
• Tillamook Chiropractic Incorporated (Tillamook Chiropractic Clinic)
• Tillamook County Public Health (Tillamook County Health Department)
• Tillamook County Transportation District
• Tillamook Denture Clinic
• Tillamook Family Counseling Center
• Tillamook Family Counseling Center
• Tillamook Kidney Center LLC
• Tillamook Medical Associates Lab
• Tillamook Medical Associates PC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tillamook, OR
• Providers in Tillamook, OR by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.