NPIMap

Organization Active NPI

Cardinal Health Systems

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Winchester, IN
National Provider Identifier
1881615078
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
003134 Issued in IN
Legal business name
CARDINAL HEALTH SYSTEMS
Practice address
409 E Greenville Ave
Winchester, IN 47394-9436
Phone
(765) 584-8000
Fax
(765) 584-8008
NPI assigned
Jul 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Gildersleeve
Title
Cheif Financial Officer
Phone
(765) 747-3365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 003134 IN Primary

Addresses

Primary practice location

409 E Greenville Ave
Winchester, IN 47394-9436

Mailing address

2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 741-1592

Other identifiers 1

IdentifierTypeStateIssuer
000000295081OtherINBALL DIALYSIS AT WINCHEST

National Provider Directory

National Provider Directory
Tax ID family
Cardinal Health Systems12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881615078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W UNIVERSITY AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033428",
            "telephone_number": "765-741-1592",
            "fax_number": "765-584-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E GREENVILLE AVE",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473949436",
            "telephone_number": "765-584-8000",
            "fax_number": "765-584-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILDERSLEEVE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "765-747-3365"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "IN",
            "license": "003134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BALL DIALYSIS AT WINCHEST",
            "identifier": "000000295081",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.