Provider Demographics
NPI:1588839229
Name:ACCESSCARE DIALYSIS
Entity Type:Organization
Organization Name:ACCESSCARE DIALYSIS
Other - Org Name:ACCESSCARE BROWNFIELD DIALYSIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:HEDRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-680-0524
Mailing Address - Street 1:5224 75TH ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-2523
Mailing Address - Country:US
Mailing Address - Phone:512-680-0524
Mailing Address - Fax:
Practice Address - Street 1:710 E FELT ST
Practice Address - Street 2:
Practice Address - City:BROWNFIELD
Practice Address - State:TX
Practice Address - Zip Code:79316-3440
Practice Address - Country:US
Practice Address - Phone:512-680-0524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment