Provider Demographics
NPI:1720190549
Name:DIALYSIS ASSOCIATES LLC
Entity Type:Organization
Organization Name:DIALYSIS ASSOCIATES LLC
Other - Org Name:FRESENIUS MEDICAL CARE COLUMBIA TENNESSEE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP & TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FAWCETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:861 W JAMES CAMPBELL BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-3562
Mailing Address - Country:US
Mailing Address - Phone:931-380-9099
Mailing Address - Fax:931-381-6968
Practice Address - Street 1:861 W JAMES CAMPBELL BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-3562
Practice Address - Country:US
Practice Address - Phone:931-380-9099
Practice Address - Fax:931-381-6968
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-31
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
442613Medicare Oscar/Certification