centers for medicare and medicaid services listing of ... · centers for medicare and medicaid...

CENTERS FOR MEDICARE AND MEDICAID SERVICES

Listing of Renal Providers for SSA District Office Final Action

Date: February 22, 2006

Provider

Number

Cross-

Reference

Number

Provider Name Telephone

Number

Provider City Provider

Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

022500 RCG ANCHORAGE 907-563-3314 ANCHORAGE AK YES NO09/01/197799508

022502 RCG FAIRBANKS 907-452-2290 FAIRBANKS AK NO NO06/27/198599701

022503 RCG MAT SU 907-357-7560 WASILLA AK YES NO03/29/200499654

022504 REIFENSTEIN DIALYSIS

CENTER

907-790-0300 JUNEAU AK YES NO03/26/200499801

010033 UNIVERSITY OF ALABAMA -

BIRMINGHAM TRANSPLANT

205-934-4034 BIRMINGHAM AL NO YES09/01/1976012300 35294

010087 UNIVERSITY OF SOUTH AL -

TRANSPLANT

251-471-1739 PRICHARD AL NO YES04/26/199636617

01014F VA - BIRMINGHAM 205-933-3810 BIRMINGHAM AL NO NO07/01/1973012305 35233

012500 FMC - CAPITOL CITY 334-263-3102 MONTGOMERY AL YES NO09/01/197636104

012501 GAMBRO HEALTHCARE -

GADSDEN

256-547-7245 GADSDEN AL NO NO09/01/197635901


TUSCALOOSA - UNIVERSITY

205-758-8477 TUSCALOOSA AL YES NO10/21/197735401

Data generated from SIMS Central Repository of 409 February 22, 2006Print Date:

Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

012505 PHYSICIANS CHOICE DIALYSIS

OF AL, LLC - MONTGOMERY

334-269-9941 MONTGOMERY AL YES NO12/14/197736108


DOTHAN

334-793-3407 DOTHAN AL YES NO11/28/197736301

012507 FMC-MOBILE 251-476-6276 MOBILE AL NO NO01/04/197936607


BIRMINGHAM EAST

205-833-3600 BIRMINGHAM AL NO NO06/28/197935235

012509 FMC-NORTH ALABAMA 256-536-6857 HUNTSVILLE AL YES NO07/16/197935801

012512 FMC-SELMA 334-874-4902 SELMA AL YES NO08/25/198036701

012513 FMC-LANGDALE 334-756-6419 VALLEY AL NO NO02/12/198136854

012515 FMC - OPELIKA 334-749-9508 OPELIKA AL YES NO09/07/198236802

012516 FMC-NORWOOD 205-502-2530 BIRMINGHAM AL YES NO12/02/198235234


ATHENS

256-233-3473 ATHENS AL NO NO01/21/198335611

012519 FMC-SCOTTSBORO 256-259-9477 SCOTTSBORO AL NO NO11/05/198435768

012520 FRESENIUS MEDICAL CARE OF

TROY

334-566-6726 TROY AL NO NO11/19/198436081


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

012521 DIALYSIS CLINIC,

INC.-DOTHAN

334-793-3351 DOTHAN AL YES NO03/11/198536301

012522 FMC-HUNTSVILLE 256-536-6188 HUNTSVILLE AL YES NO08/20/198535801

012523 PHENIX CITY DIALYSIS CENTER 334-298-8194 PHENIX CITY AL YES NO09/23/198536867

012524 FMC-EAST MOBILE 251-432-2685 MOBILE AL YES NO12/01/198536604

012525 FMC-WEST MOBILE 251-633-3268 MOBILE AL NO NO12/02/198536695

012526 ALA DIALYSIS SVS -

BIRMINGHAM

205-785-5350 BIRMINGHAM AL YES NO09/18/198535211


INC.-ENTERPRISE

334-347-7823 ENTERPRISE AL NO NO07/04/198636330

012528 ALA DIALYSIS SVS - CAHABA

VALLEY

205-988-8046 PELHAM AL NO NO09/17/198635124


FLORENCE

256-764-4505 FLORENCE AL NO NO09/16/198635630

012530 RENAL CARE GROUP - EAST

ALABAMA #1

256-237-7530 ANNISTON AL YES NO01/07/198736207

012531 FMC - JACKSON (TOMBIGBEE) 251-246-6666 JACKSON AL NO NO01/29/198736545


INC.-EUFAULA

334-687-7707 EUFAULA AL NO NO11/25/198736027


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

012533 FMC - WALKER 205-221-1106 JASPER AL YES NO12/29/198735501

012534 BESSEMER KIDNEY CENTER 205-424-4375 BESSEMER AL NO NO03/22/198835022


OF AL, LLC-PRATTVILLE

334-361-1001 PRATTVILLE AL NO NO01/26/199036066


MONTCLAIR


012537 FMC-PRICHARD 251-452-2994 PRICHARD AL NO NO04/23/199036610

012538 RENAL CARE GROUP -

ANDALUSIA

334-222-2041 ANDALUSIA AL YES NO06/26/199136420

012539 RENAL CARE

GROUP-TALLADEGA

256-315-5166 TALLADEGA AL NO NO07/26/199135160

012540 FMC - MONROEVILLE

(WHETSTONE)

251-575-5345 MONROEVILLE AL NO NO09/18/199136460

012541 FMC-DADEVILLE 256-825-5274 DADEVILLE AL NO NO03/11/199236863


RAINBOW CITY

256-413-3324 RAINBOW CITY AL YES NO05/05/199235906


DEMOPOLIS

334-289-9970 DEMOPOLIS AL YES NO05/20/199236732

012544 GAMBRO HEALTHCARE - OZARK 334-774-4263 OZARK AL NO NO08/04/199236360


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


TUSCALOOSA

205-752-2636 TUSCALOOSA AL YES NO08/11/199235401

012546 FMC-TUSKEGEE 334-727-7944 TUSKEGEE AL NO NO05/18/199336083

012547 FMC-EASTERN SHORE 251-928-8783 FAIRHOPE AL NO NO08/01/199336532


FAYETTE

205-932-2850 FAYETTE AL NO NO11/12/199335555

012549 DIALYSIS AFFILIATES OF

SOUTH ALABAMA

251-867-7365 BREWTON AL NO NO03/17/199436426


GREENE COUNTY DIALYSIS

205-372-2400 EUTAW AL NO NO06/30/199435462


SHEFFIELD

256-381-1800 SHEFFIELD AL YES NO01/01/199535660

012552 FMC-TOULMINVILLE 251-476-6414 MOBILE AL NO NO01/10/199536617


OF AL, LLC-ELMORE COUNTY

334-514-4157 WETUMPKA AL NO NO01/30/199536092

012554 DIALYSIS CLINIC, INC.-UNION

SPRINGS

334-738-8571 UNION SPRINGS AL NO NO03/13/199536089

012556 ALA DIALYSIS SVS - PELL CITY 205-884-4741 PELL CITY AL NO NO06/01/199535125


OF AL, LLC - EAST

MONTGOMERY

334-260-0067 MONTGOMERY AL NO NO06/01/199536117


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

012558 DIALYSIS CLINIC, INC. -

DECATUR

256-350-0888 DECATUR AL YES NO05/24/199535601

012559 FMC-UNIVERSITY SOUTH

ALABAMA

251-460-0679 MOBILE AL YES NO01/14/199536688

012560 ALA DIALYSIS SVS - HAMILTON 205-921-1623 HAMILTON AL NO NO12/11/199535570

012561 FMC DIALYSIS SERVICES OF

LAKEVIEW

256-753-3011 GUNTERSVILLE AL YES NO12/07/199535976

012562 DIALYSIS CLINIC, INC.-PELL

CITY

205-884-4424 PELL CITY AL YES NO12/13/199535125


CULLMAN

256-734-4305 CULLMAN AL YES NO01/04/199635055

012565 SOUTH BALDWIN DIALYSIS

CENTER

251-943-3415 FOLEY AL NO NO04/02/199636535


SYLACAUGA

256-249-9966 SYLACAUGA AL NO NO07/16/199635150


ANNISTON #2

256-235-5221 ANNISTON AL NO NO07/31/199636207

012568 FMC-PARKWAY DIALYSIS

CENTER

256-536-6556 HUNTSVILLE AL NO NO09/03/199635801


NORTHPORT

205-339-9888 NORTHPORT AL NO NO12/03/199635476

012571 DCI-GEORGIANA 334-376-6027 GEORGIANA AL NO NO12/31/199636033


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

012572 FMC - CAMELLIA 334-382-2505 GREENVILLE AL NO NO02/12/199736037


INC.-BIRMINGHAM


012574 FMC-CHAMBERS 334-864-4991 LAFAYETTE AL NO NO06/10/199736862

012575 ALA DIALYSIS SVS - WALKER 205-221-1877 JASPER AL NO NO01/08/199835501


INC.-MONTGOMERY

334-265-5919 MONTGOMERY AL YES NO06/05/199836104


SOUTHSIDE


012579 FMC-DAUPHIN ISLAND PKWY 251-471-1250 MOBILE AL NO NO07/08/199836605

012580 FMC - THOMASVILLE 334-636-6141 THOMASVILLE AL NO NO09/15/199836784

012582 FMC - WILCOX 334-682-2503 CAMDEN AL NO NO11/04/199836726


BESSEMER

205-424-4184 BESSEMER AL NO NO08/01/199835020


ENSLEY


012587 FMC-CHILTON PEACH 205-280-0147 CLANTON AL NO NO02/11/199935045


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


SYLACAUGA

256-249-9499 SYLACAUGA AL YES NO08/01/199835150


BIRMINGHAM NORTH



MOULTON

256-974-4140 MOULTON AL NO NO03/16/199935650

012591 ALA DIALYSIS SVS - SHELBY 205-620-0686 ALABASTER AL NO NO04/08/199935007


BIRMINGHAM CENTRAL


012593 FMC-ODYSSEY DIALYSIS 256-772-2443 MADISON AL NO NO05/05/199935758

012594 GAMBRO HEALTHCARE - BOAZ 256-840-0593 SARDIS CITY AL NO NO06/30/199935957

012595 ALA DIALYSIS SVS - FORT

PAYNE

256-845-5997 FORT PAYNE AL NO NO05/01/199935968

012596 FMC - MONTGOMERY BAPTIST 334-286-6401 MONTGOMERY AL NO NO08/11/199936111

012597 FMC - BAY MINETTE 251-580-0444 BAY MINETTE AL NO NO10/27/199936507

012598 DCI - PHENIX CITY 334-448-8484 PHENIX CITY AL NO NO02/09/200036867

012600 ATMORE DIALYSIS CENTER 251-368-8559 ATMORE AL NO NO03/14/200136502


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

012601 ALA DIALYSIS SVS - WEST 205-781-1236 BIRMINGHAM AL NO NO03/27/200135211

012602 GAMBRO

HEALTHCARE-RUSSELLVILLE

256-332-2704 RUSSELLVILLE AL NO NO06/20/200135653

012603 ALA DIALYSIS SVS - FAIRFIELD 205-780-0512 FAIRFIELD AL NO NO10/16/200135064

012604 ALA DIALYSIS SVS - CLANTON 205-280-0433 CLANTON AL NO NO03/27/200235045

012605 GAMBRO

HEALTHCARE-BIRMINGHAM

H.T.


012606 FMC CHASE DIALYSIS CENTER 256-852-2890 HUNTSVILLE AL NO NO09/19/200235810

012607 ROANOKE DIALYSIS CLINIC 334-863-3836 ROANOKE AL NO NO01/29/200336274

012608 ADS ONEONTA 205-625-5690 ONEONTA AL NO NO03/26/200335121

012609 GAMBRO HEALTHCARE

EUFAULA

334-688-8080 EUFAULA AL NO NO04/09/200336027

012610 BMA - MAGNOLIA 251-649-9634 SEMMES AL NO NO05/14/200336575

012611 FMC OF DALLAS COUNTY 334-872-2846 SELMA AL NO NO12/19/200336701

012612 FMC-GARDENDALE 205-608-8365 GARDENDALE AL NO NO12/17/200335071


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

012613 FMC DISCOVERY DIALYSIS 256-489-9416 HUNTSVILLE AL YES NO03/17/200435801


OF SELMA, LLC

334-875-5543 SELMA AL YES NO04/07/200436701


AUBURN

334-501-1889 AUBURN AL NO NO06/23/200436832

012616 LANDMARK DIALYSIS -

NATIONAL RENAL ALLIANCE,

LLC

256-362-2444 TALLADEGA AL YES NO06/09/200435160

012617 PCD--ALEXANDER CITY 256-329-9063 ALEXANDER CITY AL YES NO11/10/200435010

013300 CHILDRENS HOSPITAL

DIALYSIS UNIT

205-939-9927 BIRMINGHAM AL YES YES11/17/1982012306 35233


TRANSPLANT

205-939-9927 BIRMINGHAM AL NO YES11/17/1982012306 35233

040007 ST VINCENT

INFIRMARY-DIALYSIS

501-552-2214 LITTLE ROCK AR NO NO04/10/1981042311 72205

040016 UAMS KIDNEY

CTR-TRANSPLANT

501-686-6664 LITTLE ROCK AR NO YES09/01/1977042302 72205

040017 NORTH AR REGIONAL MEDICAL

CENTER DIALYSIS

870-365-5229 HARRISON AR NO NO12/15/1989042314 72601

040020 ST BERNARDS REGIONAL

MEDICAL CTR-DIALYSIS

870-972-2447 JONESBORO AR YES NO09/05/1978042303 72401

04010F JLM VA MEDICAL CTR-DIALYSIS 501-257-7582 LITTLE ROCK AR YES NO08/31/1977042308 72205


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

040114 BAPTIST HEALTH MEDICAL

CENTER - DIALYSIS

501-202-2200 LITTLE ROCK AR YES YES12/08/1988042309 72204

040114 BAPTIST HEALTH MEDICAL

CTR-TRANSPLANT


040117 ARKANSAS CHILDRENS

HOSPITAL-DIALYSIS

501-364-4181 LITTLE ROCK AR YES YES01/11/1979042310 72202

040117 ARKANSAS CHILDRENS

HOSPITAL-TRANSPLANT


042501 FT SMITH REGIONAL DIALYSIS

CENTER

479-709-9745 FORT SMITH AR YES NO05/11/197772901

042507 OUACHITA REGIONAL DIALYSIS

CENTER

501-624-4019 HOT SPRINGS AR YES NO04/12/198271901

042508 RIVER VALLEY KIDNEY CENTER 479-968-8468 RUSSELLVILLE AR YES NO10/08/198372801

042510 RCG-HELENA 870-338-8780 HELENA AR NO NO03/14/198472342

042512 DEGRAY KIDNEY CENTER 870-246-6302 ARKADELPHIA AR YES NO09/12/198671923

042513 SPRINGHILL DIALYSIS CENTER 501-945-5366 NORTH LITTLE

ROCK

AR YES NO07/10/198772117

042514 SEARCY DIALYSIS CENTER 501-268-8440 SEARCY AR NO NO07/29/198772143

042515 MAGNOLIA DIALYSIS CENTER 870-234-4494 MAGNOLIA AR NO NO09/02/198771754


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

042517 CONWAY DIALYSIS CENTER 501-327-7100 CONWAY AR NO NO08/23/198872032

042518 RCG-CONWAY 501-329-9771 CONWAY AR YES NO12/19/198872032

042521 RCG-LITTLE ROCK DIALYSIS 501-225-5389 LITTLE ROCK AR YES NO06/14/198972205

042525 OUACHITA VALLEY KIDNEY

CENTER

870-837-7133 CAMDEN AR NO NO07/13/199071701

042527 RCG-LAKE VILLAGE 870-265-5383 LAKE VILLAGE AR NO NO09/28/199071653

042528 FMCNA-EAST ARKANSAS 870-735-5544 WEST MEMPHIS AR NO NO07/09/199072301

042529 RCG-ARKANSAS DIALYSIS 501-945-5945 NORTH LITTLE

ROCK

AR YES NO09/09/199172117

042531 HOT SPRINGS DIALYSIS 501-624-4015 HOT SPRINGS AR YES NO02/21/199271913

042532 RCG-JEFFERSON COUNTY

DIALYSIS

870-534-4223 PINE BLUFF AR YES NO04/21/199371603

042533 FMCNA-ST FRANCIS COUNTY

DIALYSIS

870-630-0648 FORREST CITY AR NO NO11/10/199372335

042534 RCG - OSCEOLA DIALYSIS

CENTER

870-563-3269 OSCEOLA AR YES NO01/01/199472370

042535 JACKSONVILLE DIALYSIS

CENTER

501-982-2222 JACKSONVILLE AR NO NO01/09/199572076


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

042536 SOUTH ARKANSAS KIDNEY

CTR-EL DORADO

870-862-2878 EL DORADO AR YES NO03/01/199571730

042537 RCG-STUTTGART DIALYSIS 870-673-3882 STUTTGART AR YES NO12/19/199572160

042539 REGIONAL KIDNEY CTRS -

FAYETTEVILLE

479-443-3668 FAYETTEVILLE AR YES NO01/01/199672703


BENTONVILLE

479-273-3233 BENTONVILLE AR NO NO01/01/199672712

042543 RCG-MONTICELLO 870-367-7310 MONTICELLO AR NO NO03/31/199771655

042545 SOUTHWEST ARKANSAS

DIALYSIS-MAGNOLIA

870-234-4132 MAGNOLIA AR NO NO07/25/199771753

042547 MIDTOWN DIALYSIS CENTER 501-221-1312 LITTLE ROCK AR NO NO05/15/199872205

042548 DIALYSIS CTRS OF

ARKANSAS-N LITTLE ROCK

501-945-5232 NORTH LITTLE

ROCK

AR YES NO05/29/199872117


SILOAM SPRINGS

479-524-4010 SILOAM SPRINGS AR NO NO06/17/199872761

042550 FMCNA-BLYTHEVILLE 870-762-2770 BLYTHEVILLE AR NO NO07/01/199872315

042551 LEWISVILLE DIALYSIS CENTER 870-921-1411 LEWISVILLE AR NO NO10/22/199871845

042553 DIALYSIS CTRS OF

ARKANSAS-JACKSONVILLE

501-241-1130 JACKSONVILLE AR YES NO12/07/199872076


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

042554 NEWPORT DIALYSIS CENTER 870-523-3260 NEWPORT AR NO NO02/05/199972112

042555 PRESCOTT DIALYSIS CENTER 870-887-7009 PRESCOTT AR NO NO03/04/199971857

042556 RCG-BENTON 501-776-6141 BENTON AR YES NO04/12/199972015

042557 BATESVILLE DIALYSIS CENTER 870-793-3805 BATESVILLE AR NO NO08/30/199972501

042558 SALINE COUNTY DIALYSIS

CENTER

501-778-8020 BENTON AR NO NO09/15/199972015

042559 DIALYSIS CENTERS OF

ARKANSAS

501-280-0321 LITTLE ROCK AR YES NO11/01/199972205

042560 ASHLEY KIDNEY CENTER 870-305-5122 CROSSETT AR YES NO03/15/200071635

042562 USRC OF NE

ARKANSAS-PARAGOULD

870-215-5018 PARAGOULD AR YES NO03/09/200172450

042563 HEMPSTEAD COUNTY DIALYSIS

UNIT

870-777-7404 HOPE AR NO NO09/28/200171801

042564 USRC - PINE BLUFF 870-534-4740 PINE BLUFF AR YES NO09/27/200171603

042565 USRC - KIDNEY CENTER OF

MCGEHEE

870-222-2670 MCGEHEE AR NO NO10/01/200171654

042567 RVM-RENAL CENTER OF MTN

HOME

870-508-8650 MOUNTAIN HOME AR YES NO04/01/200272653


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


SPRINGDALE

479-750-0705 SPRINGDALE AR NO NO07/03/200272764

042569 HOPE DIALYSIS CENTER 870-777-7170 HOPE AR NO NO08/16/200271801

042570 MALVERN KIDNEY CENTER 501-332-2300 MALVERN AR NO NO04/14/200372104

042571 DAVITA - LITTLE ROCK

DIALYSIS

501-661-1793 LITTLE ROCK AR YES NO03/01/200372204

042573 RCG - MARION 870-739-9282 MARION AR YES NO03/12/200472364

042574 NORTH HILLS DIALYSIS 479-463-3700 FAYETTEVILLE AR YES NO08/03/200572703

042575 BENTON COUNTY DIALYSIS

CENTER

479-273-3734 BENTONVILLE AR NO NO09/09/200572712

042576 WARREN KIDNEY CENTER 870-226-6718 WARREN AR NO NO10/14/200571671

042577 NEA CLINIC DIALYSIS CENTER 870-934-4570 JONESBORO AR YES NO11/09/200572401

043501 ST BERNARDS-WYNNE 870-208-8117 WYNNE AR NO NO09/21/200172396

640001 LBJ MEDICAL CENTER 684-633-3122 PAGO PAGO AS NO NO06/24/1982642300 96799

030002 GOOD SAMARITAN MEDICAL

CTR/KIDNEY CENTER

602-239-9470 PHOENIX AZ NO YES08/12/1977032300 85006


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

030002 BANNER SAMARITAN

TRANSPLANT SERVICES

800-554-4192 PHOENIX AZ NO YES08/12/1977032300 85004

030006 TUCSON MEDICAL

CENTER/DIALYSIS

520-324-4563 TUCSON AZ NO NO04/01/1986032308 85712

030022 MARICOPA MEDICAL

CENTER/DIALYSIS

602-344-4160 PHOENIX AZ NO NO10/07/1997032302 85008

030064 UAHSC TRANSPLANT 520-694-4736 TUCSON AZ NO YES08/12/1977032304 85724

030103 MAYO CLINIC

HOSPITAL--KIDNEY

TRANSPLANT UNIT

480-342-2012 PHOENIX AZ NO YES12/20/1999032313 85054

03012F V.A. MEDICAL CENTER

DIALYSIS-PHOENIX

602-277-7555 PHOENIX AZ YES NO08/29/199785012

03013F SOUTHERN ARIZONA VA

HEALTH CARE --DIALYSIS

520-792-2145 TUCSON AZ YES NO04/29/1998032305 85723

031308 GILA RIVER DIALYSIS EAST 602-271-1790 SACATON AZ NO NO01/04/2006032315 85247

032500 GAMBRO HEALTHCARE TUCSON

WEST

520-624-4222 TUCSON AZ YES NO09/28/198885745


EAST

520-790-0277 TUCSON AZ YES NO05/26/197885710

032502 GAMBRO HEALTHCARE OF

YUMA

928-783-3236 YUMA AZ YES NO06/28/197885364

032503 FMC- PHOENIX ARTIFICIAL

KIDNEY CENTER

623-974-4585 PEORIA AZ YES NO03/26/197985381


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

032504 DAVITA - CAMELBACK

DIALYSIS

480-970-0092 SCOTTSDALE AZ YES NO01/01/199785251

032506 DAVITA - TUBA CITY DIALYSIS

UNIT

928-283-3452 TUBA CITY AZ NO NO11/15/199086045

032508 FMC - SOUTH PHOENIX

DIALYSIS SERVICES

602-253-3195 PHOENIX AZ NO NO02/01/198585007

032509 RCG - EAST VALLEY 480-985-5491 MESA AZ YES NO09/11/199785206

032513 GAMBRO HEALTHCARE SELLS 520-383-3761 SELLS AZ YES NO01/01/198585634

032514 DCI/DESERT DIALYSIS CENTER 520-327-7000 TUCSON AZ YES NO01/16/198685719

032515 RCG - WHITERIVER 928-338-8149 WHITERIVER AZ NO NO11/15/198585941

032516 RCG - CHANDLER 480-821-1980 CHANDLER AZ YES NO10/30/198585225

032517 CENTRAL PHOENIX DIALYSIS 602-274-4229 PHOENIX AZ YES NO09/08/199785013

032518 DAVITA - FOUR CORNERS DIAL

CLINIC CHINLE

928-674-4367 CHINLE AZ NO NO04/14/198786503

032520 GAMBRO HEALTHCARE SIERRA

VISTA

520-459-9779 SIERRA VISTA AZ YES NO06/20/198785635

032521 FMC - DIALYSIS CENTER OF

GLENDALE

623-435-5115 GLENDALE AZ NO NO03/01/198585301


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

032522 FMC PARKER DIALYSIS CENTER 928-669-9983 PARKER AZ YES NO07/20/198885344

032523 RCG - PRESCOTT 928-776-6945 PRESCOTT AZ YES NO07/18/198886301

032524 FMC - FLAGSTAFF DIALYSIS

CENTER

928-527-7499 FLAGSTAFF AZ YES NO12/08/198986004

032525 DAVITA - DESERT MOUNTAIN

DIALYSIS

480-391-1224 SCOTTSDALE AZ NO NO09/01/198885258

032526 RCG - SOUTHWEST MESA 480-894-4541 MESA AZ YES NO12/07/198885202

032528 RCG - GLENDALE 602-439-9950 GLENDALE AZ YES NO05/03/198985306

032530 FMC - DESERT VALLEY

DIALYSIS

602-971-1455 PHOENIX AZ NO NO10/18/198985032

032531 RCG - PHOENIX 602-340-0905 PHOENIX AZ YES NO06/19/199185006

032532 RCG - NATIVE AMERICAN 520-562-2334 SACATON AZ NO NO05/28/199085247

032533 RCG - GLOBE 928-425-5262 MIAMI AZ YES NO10/01/199085539

032535 RCG - HOME DIALYSIS OF

MESA

480-926-6922 MESA AZ YES NO06/17/199185204

032536 FMC - WINSLOW DIALYSIS

CENTER, LTD.

928-289-9331 WINSLOW AZ YES NO07/30/199186047


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

032537 FMC - ESTRELLA DIALYSIS

CENTER

602-352-2072 PHOENIX AZ YES NO08/19/199185043

032539 FMC MESA DIALYSIS CENTER 480-497-7112 GILBERT AZ YES NO09/08/199785234

032540 WESTERN SKIES DIALYSIS,

INC.

520-836-6588 CASA GRANDE AZ YES NO06/24/199685222

032541 RCG - TEMPE 480-967-7636 TEMPE AZ NO NO09/29/199785282

032542 FMC - ARCADIA DIALYSIS

CENTER

602-955-5747 PHOENIX AZ NO NO12/01/199285008


NOGALES

520-287-7659 NOGALES AZ NO NO03/15/199385621

032544 RCG - LAKE HAVASU 928-680-0474 LAKE HAVASU CITY AZ NO NO04/06/199386403

032545 FMC - SOUTH MOUNTAIN

DIALYSIS CENTER

602-268-8815 PHOENIX AZ NO NO05/03/199385040

032546 FMC --SUN CITY WEST

DIALYSIS

623-583-3886 SURPRISE AZ NO NO05/19/199385374

032547 RCG - SUN CITY 623-815-5177 SUN CITY AZ NO NO09/13/199785351

032549 RCG - SAFFORD 928-348-8426 SAFFORD AZ NO NO09/09/199785546

032550 FMC NORTH PHOENIX DIALYSIS 602-943-3176 PHOENIX AZ YES NO12/10/199385021


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

032551 RCG - MESA 480-926-6190 MESA AZ NO NO09/08/199785204

032552 FMC ARROWHEAD DIALYSIS 602-439-9820 GLENDALE AZ NO NO07/19/199485306

032553 DAVITA - PAPAGO 602-392-2066 PHOENIX AZ YES NO09/06/199485008

032555 RCG - PHOENIX NORTH 602-864-4737 PHOENIX AZ NO NO09/19/199585021


SOUTH YUMA

928-317-7051 YUMA AZ YES NO03/27/199585364


SOUTH

520-882-2966 TUCSON AZ NO NO04/13/199585713

032558 FMC - BULLHEAD CITY

DIALYSIS

928-758-8740 BULLHEAD CITY AZ YES NO05/17/199586442


CLINIC KAYENTA

928-697-7818 KAYENTA AZ NO NO06/07/199586033

032561 RCG - CASA GRANDE 520-836-6256 CASA GRANDE AZ NO NO09/01/199585222

032562 RCG - COTTONWOOD 928-639-9001 COTTONWOOD AZ NO NO12/01/199686326

032563 RCG - SCOTTSDALE 480-949-9784 SCOTTSDALE AZ NO NO03/01/199785257

032564 RCG - MARYVALE 623-247-7069 PHOENIX AZ NO NO08/20/199785031


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

032565 DCI/DESERT DIALYSIS CENTER

SOUTH TUCSON

520-806-6000 TUCSON AZ NO NO09/11/199785714

032568 FMC RED MOUNTAIN DIALYSIS 480-833-3744 MESA AZ NO NO03/07/199785201

032571 FMC NORTH SCOTTSDALE 480-607-7295 SCOTTSDALE AZ YES NO06/20/199785260

032572 DESERT DIALYSIS SRVS,

INC.-SUN CITY

623-583-3313 SUN CITY AZ NO NO07/23/199785351

032573 GAMBRO HEALTHCARE PASCUA

YAQUI TR

520-879-9616 TUCSON AZ NO NO06/27/199785757

032575 RCG - SHOW LOW 928-532-2843 SHOW LOW AZ NO NO01/15/199885901

032577 FMC PRESCOTT VALLEY

DIALYSIS

928-759-9220 PRESCOTT VALLEY AZ YES NO01/31/199986314

032578 RCG - APACHE JUNCTION 480-357-7557 APACHE JUNCTION AZ NO NO01/22/199985220

032579 RCG - SUN LAKES 480-883-3130 SUN LAKES AZ NO NO06/02/1999031111X 85248

032580 FMC PALM VALLEY DIALYSIS 623-536-6109 GOODYEAR AZ YES NO11/22/199985338

032581 RCG - AK-CHIN 520-568-8312 MARICOPA AZ NO NO02/10/2000031114 85239

032582 KINGMAN KIDNEY CENTER,

INC.

928-692-2650 KINGMAN AZ YES NO06/07/200086401


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

032583 RCG - SOUTH PHOENIX 602-304-4197 PHOENIX AZ NO NO06/28/2000031115 85040

032584 RCG - SUN CITY WEST

DIALYSIS

623-544-4750 SUN CITY WEST AZ NO NO11/29/200085375


TEMPE

480-893-3229 TEMPE AZ NO NO01/03/200185284


DEER VALLEY

623-869-9608 PHOENIX AZ NO NO01/31/200185027


SAGUARO

602-467-7950 PHOENIX AZ YES NO02/21/200185306


SOUTH CENTRAL

520-573-3020 TUCSON AZ NO NO10/04/200185714

032590 FMC - KINGMAN RENAL

DIALYSIS CENTER

928-681-1211 KINGMAN AZ NO NO09/05/200186401

032591 PHOENIX CHILDRENS

HOSPITAL- KIDS KIDNEY

CENTER

602-546-6470 PHOENIX AZ YES NO10/22/200185016

032592 DAVITA - HOPI DIALYSIS

CENTER

928-737-7549 POLACCA AZ YES NO08/28/200186042

032593 FMC GRANITE VALLEY 623-546-6271 SUN CITY WEST AZ NO NO01/16/200285375

032594 RCG - SALT RIVER DIALYSIS

CENTER


032595 GLENDALE FAMILY HEALTH

CENTER

623-344-4678 GLENDALE AZ NO NO10/16/200285301


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

032596 RCG - NORTH EAST PHOENIX 602-765-5391 PHOENIX AZ NO NO10/18/200285032

032597 RCG - SAN CARLOS 928-475-5598 PERIDOT AZ NO NO02/19/200385542

032598 RCG - MAMMOTH 520-487-7015 MAMMOTH AZ NO NO04/16/200385618

032599 RCG - AWHATUKEE 480-785-5227 PHOENIX AZ NO NO05/07/200385048

032600 DAVITA - SCOTTSDALE

DIALYSIS CENTER


032601 DAVITA - PALM BROOK

DIALYSIS CENTER

623-583-3655 SUN CITY AZ YES NO12/10/200385351

032602 RCG - HOME DIALYSIS

PRESCOTT

928-713-3512 DEWEY AZ YES NO02/03/200486327

032604 SOUTHWEST KIDNEY HOME

DIALYSIS- PHOENIX

602-589-9909 PHOENIX AZ YES NO06/18/200485015

032605 SOUTHWEST KIDNEY DIALYSIS

- GILBERT

480-832-2699 GILBERT AZ NO NO10/08/200485234

032606 DAVITA - DESERT RIDGE

DIALYSIS


032607 FMC - AVONDALE DIALYSIS 623-643-3933 AVONDALE AZ NO NO05/09/200585323

032608 RCG - AVONDALE 623-935-5546 AVONDALE AZ YES NO05/27/200585323


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

032609 SOUTHWEST KIDNEY DIALYSIS

- TEMPE

480-610-0617 TEMPE AZ YES NO08/05/200585284

033302 PHOENIX CHILDRENS

HOSPITAL- RENAL TRANSPLANT

CENTER

602-546-6470 PHOENIX AZ NO YES11/26/200285016

033503 GILA RIVER DIALYSIS WEST 602-271-1790 LAVEEN AZ NO NO08/24/200585339

050007 MILLS DIALYSIS CENTER 650-696-6493 SAN MATEO CA YES NO01/01/1997052340 94401

050008 CPMC DAVIES CAMPUS 415-600-0507 SAN FRANCISCO CA NO NO08/01/1977052300 94114

050022 RIVERSIDE COMMUNITY

HOSPITAL TRANSPLANT

CENTER

951-684-4141 RIVERSIDE CA NO YES05/07/1997052393 92501

050025 UCSD-MEDICAL CENTER

(RENAL TRANSPLANT)

619-574-4861 SAN DIEGO CA NO YES08/16/1977052302 92103

050038 SANTA CLARA VALLEY RENAL

CARE CENTER

408-885-5573 SAN JOSE CA YES NO08/22/1977052305 95128

050047 CALIFORNIA PACIFIC MC

DIALYSIS

415-600-0325 SAN FRANCISCO CA YES YES08/18/1977052307 94120

050047 CALIFORNIA PACIFIC MC

TRANSPLANT

415-923-3352 SAN FRANCISCO CA NO YES08/18/1977052307 94115

050065 WESTERN MEDICAL CENTER

(RENAL TRANSPLANT)

714-953-3365 SANTA ANA CA NO YES04/18/1988052309 92705

050069 ST. JOSEPH HOSPITAL RENAL

CENTER

714-771-1803 ORANGE CA YES YES08/15/197792868


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

050069 ST. JOSEPH HOSPITAL (RENAL

TRANSPLANT)

714-771-1803 ORANGE CA NO YES08/15/1977052311 92868

050071 KAISER PERMANENTE - SANTA

CLARA

408-851-1456 SANTA CLARA CA YES NO06/20/1996052392 95051

050076 KAISER HOSPITAL

HEMODIALYSIS


050100 SHARP MEMORIAL HOSPITAL

(RENAL TRANSPLANT)


050108 SUTTER MEDICAL CENTER

TRANSPLANT

916-733-3813 SACRAMENTO CA NO YES04/01/1996052316 95819

050138 KAISER PERMANENTE-SUNSET

(DIALYSIS UNIT)

323-783-3447 LOS ANGELES CA YES NO07/25/1977052323 90027

050139 KAISER

PERMANENTE-BELLFLOWER

(DIALYSIS)

562-461-1611 BELLFLOWER CA YES NO12/01/1994052389 90706

050140 KAISER

PERMANENTE-FONTANA (PD

UNIT)

909-427-7425 FONTANA CA YES NO07/24/1991052380 92335

050167 SAN JOAQUIN GENERAL

HOSPITAL

209-468-8608 FRENCH CAMP CA NO NO08/03/1977052326 95231

050174 SANTA ROSA MEMORIAL

HOSPITAL

707-525-5529 SANTA ROSA CA NO YES07/22/1986052374 95402

050191 ST. MARY MEDICAL CENTER

(RENAL TRANSPLANT)

562-491-1930 LONG BEACH CA NO YES01/08/198790813

050245 ARROWHEAD REGIONAL

MEDICAL CENTER (RENAL

TRANSPLANT) ACUTE S

909-580-0427 COLTON CA NO YES08/08/1977052334 92324


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

050262 UCLA MEDICAL

CENTER-PEDIATRICS (RENAL

TRANSPLANT)

310-825-5683 LOS ANGELES CA NO YES08/08/1977052262T 90095

05027F V.A. MEDICAL CENTER OF

LONG BEACH

562-826-6590 LONG BEACH CA YES NO01/15/199090822

05029F V.A. GREATER LA HEALTHCARE

SYSTEM

310-268-8338 LOS ANGELES CA YES NO06/25/198990073

050308 EL CAMINO DIALYSIS CENTER 650-940-0701 MOUNTAIN VIEW CA YES NO08/12/1977052341 94040

050327 LOMA LINDA UNIVERSITY

MEDICAL CENTER

909-558-8464 LOMA LINDA CA YES YES08/11/1977052342 92354

050348 UCI MEDICAL CENTER (RENAL

TRANSPLANT)

714-456-6844 ORANGE CA NO YES08/31/1977052343 92868

050376 LAC HARBOR-UCLA MEDICAL

CENTER

310-222-2246 TORRANCE CA NO YES07/18/1977052345 90509

050424 SCRIPPS GREEN HOSPITAL

(RENAL TRANSPLANT)

858-554-4431 LA JOLLA CA NO YES03/22/1994052385 92037

050441 STANFORD ADULT KIDNEY

TRANSPLANT CENTER

650-723-3399 PALO ALTO CA NO YES10/29/1986052350 94304

050454 UCSF KIDNEY TRANSPLANT

CENTER


050502 ST. VINCENT MEDICAL CENTER

(RENAL TRANSPLANT)

213-484-4630 LOS ANGELES CA NO YES08/17/1977052355 90057

050512 KAISER HOSPITAL ESRD PD

UNIT

510-784-4207 HAYWARD CA YES NO03/18/200594545


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

050561 KAISER PERMANENTE-WEST

LOS ANGELES (DIALYSIS)


050599 UC DAVIS MEDICAL CENTER

TRANSPLANT

800-821-1991 SACRAMENTO CA NO YES08/16/1977052361 95817

050609 KAISER PERMANENTE-ANAHEIM

(PD UNIT)

714-685-5378 YORBA LINDA CA YES NO11/30/199992887

050625 CEDARS-SINAI MEDICAL

CENTER (RENAL TRANSPLANT)


050677 KAISER

PERMANENTE-WOODLAND

HILLS (DIALYSIS)

818-719-9361 WOODLAND HILLS CA YES NO10/02/1991052381 91365

050686 KAISER

PERMANENTE-RIVERSIDE (PD

UNIT)

951-353-3488 RIVERSIDE CA YES NO11/25/1992052382 92505

050696 USC UNIVERSITY HOSPITAL

(RENAL TRANSPLANT)


050746 WESTEN MEDICAL CENTER

SANTA ANA

714-953-3365 SANTA ANA CA NO NO03/08/200592705

05114F V.A. SAN DIEGO HEALTHCARE

SYSTEM

858-552-2751 SAN DIEGO CA YES NO01/15/199092161

05128F V.A. LOMA LINDA HEALTHCARE

SYSTEM

909-825-5708 LOMA LINDA CA YES NO03/08/199092357

052500 FMC-HILLCREST DIALYSIS 619-299-9390 SAN DIEGO CA NO NO08/11/197792103

052502 DAVITA-KIDNEY DIALYSIS

CARE UNIT

310-639-9632 LYNWOOD CA YES NO12/14/197790262


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052503 DAVITA-MAIN PLACE DIALYSIS

CENTER

714-836-6015 ORANGE CA YES NO08/17/197792868

052505 FULLERTON DIALYSIS 714-447-7304 FULLERTON CA NO NO09/27/199392832

052507 COMMUNITY HEMODIALYSIS 415-752-2988 SAN FRANCISCO CA NO NO08/08/197794117

052513 FMC-SANTA BARBARA

COMMUNITY DIALYSIS CENTER

805-964-4787 SANTA BARBARA CA YES NO08/29/197893110

052514 SATELLITE DIALYSIS 408-446-6346 SAN JOSE CA NO NO08/10/197795129

052515 LOS ALAMITOS HEMODIALYSIS

CENTER

562-598-8952 LOS ALAMITOS CA NO NO08/15/197790720

052521 ANTELOPE VALLEY DIALYSIS 661-942-2640 LANCASTER CA YES NO08/04/197793534

052522 MOBILE DIALYSIS SERVICES,

INC. (COMPTON)

310-637-7902 COMPTON CA NO NO09/01/197690220

052523 FMC-LONG BEACH 562-432-2444 LONG BEACH CA NO NO08/05/197790802

052524 BMA SANTA ROSA 707-527-7535 SANTA ROSA CA YES NO08/18/197795404

052525 ESCONDIDO DIALYSIS 760-743-3440 ESCONDIDO CA YES NO04/22/197792025

052526 SATELLITE DIALYSIS 415-924-4862 GREENBRAE CA YES NO08/18/197794904


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052528 REDDING DIALYSIS CENTER 530-246-6747 REDDING CA YES NO08/20/197796001

052530 UNIVERSITY DIALYSIS CENTER 916-920-0087 SACRAMENTO CA YES NO08/19/197795825

052531 SATELLITE DIALYSIS 209-578-8069 MODESTO CA NO NO08/10/197795355

052532 DAVITA-RIVERSIDE DIALYSIS

CENTER

951-682-2270 RIVERSIDE CA YES NO11/02/197892501

052534 FMC OAKLAND 510-893-3206 OAKLAND CA NO NO08/15/197794609

052536 FMC-NATIONAL CITY DIALYSIS

CENTER

619-474-4815 NATIONAL CITY CA NO NO01/01/199191950

052538 INGLEWOOD DIALYSIS 310-677-7611 INGLEWOOD CA NO NO08/15/197790301

052539 DAVITA-LAKEWOOD DIALYSIS

CENTER

562-633-3744 LAKEWOOD CA NO NO07/11/197890712

052541 PALM SPRINGS DIALYSIS 760-325-5090 PALM SPRINGS CA YES NO10/18/197692262

052543 BMA EUREKA 707-445-5203 EUREKA CA YES NO08/17/197795503

052544 FMC-CULVER CITY DIALYSIS 310-836-6223 CULVER CITY CA YES NO08/14/197790230

052545 KIDNEY DIALYSIS CENTER OF

NORTHRIDGE, LLC

818-886-6377 NORTHRIDGE CA NO NO08/15/197791328


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052546 GAMBRO HEALTHCARE OF DALY

CITY

650-755-5475 DALY CITY CA YES NO08/31/197794015

052548 BMA UKIAH 707-468-8920 UKIAH CA NO NO07/25/197795482

052549 BURBANK DIALYSIS

PARTNERSHIP

818-845-5383 BURBANK CA YES NO08/30/197791506

052550 LOMA LINDA UNIVERSITY

KIDNEY CENTER

909-558-8422 LOMA LINDA CA YES NO12/02/197792354

052552 UPLAND DIALYSIS 909-946-6380 UPLAND CA YES NO04/28/197891786

052553 CHICO DIALYSIS CENTER 530-895-5896 CHICO CA YES NO08/22/197895926

052554 DAVITA-VALLEY DIALYSIS

CENTER

818-787-7099 VAN NUYS CA YES NO12/01/197891406

052555 SATELLITE DIALYSIS 831-425-5072 SANTA CRUZ CA NO NO01/26/197995062

052556 SKYPARK DIALYSIS 310-539-9509 TORRANCE CA NO NO12/27/197890505

052557 GLENDALE HEMODIALYSIS

FACILITY

818-240-0997 GLENDALE CA YES NO06/01/197991206

052558 HOLY CROSS RENAL CENTER 818-365-5696 MISSION HILLS CA YES NO12/01/197991345

052560 GAMBRO HEALTHCARE OF SAN

PABLO

510-234-4083 SAN PABLO CA NO NO04/25/198094806


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052561 VICTOR VALLEY DIALYSIS 760-242-2831 APPLE VALLEY CA YES NO07/30/198092307

052563 YUBA CITY DIALYSIS CENTER 530-671-1365 YUBA CITY CA YES NO08/04/198095991

052564 DAVITA-GARFIELD

HEMODIALYSIS CENTER

626-288-8579 MONTEREY PARK CA YES NO04/06/197791754

052565 NAPA VALLEY COMMUNITY

DIALYSIS

707-224-4653 NAPA CA YES NO10/15/198094558


VALLEJO

707-553-3917 VALLEJO CA NO NO08/07/198094590

052568 PLEASANTON DIALYSIS

CENTER

925-737-7012 PLEASANTON CA YES NO02/10/198194588

052569 SOUTH SACRAMENTO DIALYSIS

CENTER

916-427-7256 SACRAMENTO CA NO NO12/19/198095823

052571 UNION CITY DIALYSIS CENTER 510-489-9699 UNION CITY CA YES NO05/20/198194587

052572 SATELLITE DIALYSIS 408-258-8872 SAN JOSE CA YES NO05/25/198195116

052574 DAVITA-DOWNEY DIALYSIS

CENTER

562-923-3674 DOWNEY CA NO NO08/31/198190240

052575 RAI-NORTH WATERMAN- SAN

BERNARDINO

909-381-1159 SAN BERNARDINO CA YES NO11/15/198192494

052576 FMC-KEARNY MESA DIALYSIS

CENTER

858-571-1023 SAN DIEGO CA YES NO12/01/198792111


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052578 GAMBRO

HEALTHCARE-ROSEVILLE

916-786-6272 ROSEVILLE CA NO NO01/15/198295678

052579 FMC-CONEJO VALLEY RENAL

CENTER

805-496-6607 THOUSAND OAKS CA NO NO01/14/198291360

052580 DAVITA-COVINA DIALYSIS

CENTER

626-960-0940 WEST COVINA CA YES NO01/14/198291791

052581 BEACH CITIES

DIALYSIS/GARDENA

310-515-5078 GARDENA CA NO NO03/19/198290247

052582 ST. VINCENT DIALYSIS

CENTER, INC.

213-484-4742 LOS ANGELES CA NO NO09/01/198290057

052583 MONTEREY PENINSULA

DIALYSIS

831-655-5695 MONTEREY CA YES NO08/05/198293940

052584 GAMBRO HEALTHCARE NORTH

MERCED

209-723-3043 MERCED CA YES NO11/08/198295340

052585 KIDNEY CENTER OF VAN NUYS 818-994-4233 VAN NUYS CA YES NO02/01/198391405


BERKELEY

510-649-9987 BERKELEY CA NO NO04/04/198394705

052588 SAN FERNANDO WEST KIDNEY

CENTER

818-888-8473 CANOGA PARK CA YES NO06/15/198391307

052589 UCI RENAL DIALYSIS CENTER 714-456-6555 ORANGE CA YES NO07/01/198392868

052590 RAI-COMPTON LOS ANGELES 323-563-3114 LOS ANGELES CA YES NO07/19/198390059


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052591 POMONA DIALYSIS 909-596-6999 POMONA CA NO NO07/15/198391767

052597 MISSION VIEJO DIALYSIS 949-347-7243 MISSION VIEJO CA YES NO08/12/197792691

052599 DAVITA-BEVERLY HILLS

DIALYSIS CENTER


052600 SATELLITE DIALYSIS 408-629-9980 SAN JOSE CA NO NO09/14/198495123

052601 LAKEPORT DIALYSIS CENTER 707-263-3713 LAKEPORT CA NO NO09/17/198495453

052602 SALINAS DIALYSIS CENTER 831-758-8622 SALINAS CA YES NO10/03/198493901

052604 MANZANITA DIALYSIS CENTER 916-483-3324 CARMICHAEL CA YES NO09/05/198495608

052606 SANTA BARBARA ARTIFICIAL

KIDNEY CENTER LLC

805-682-2994 SANTA BARBARA CA YES NO12/03/198493101

052608 GAMBRO HEALTHCARE FRESNO 559-439-9184 FRESNO CA YES NO07/20/198493710

052609 SATELLITE DIALYSIS 209-532-2307 SONORA CA NO NO11/05/198495370

052610 PIEDMONT DIALYSIS CENTER 510-428-8118 OAKLAND CA NO NO01/14/198594612

052612 BMA OF CENTRAL VALLEY

RURAL DIALYSIS

559-637-7167 REEDLEY CA NO NO02/04/198593654


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052613 DAVITA-EATON CANYON

DIALYSIS

626-798-8889 PASADENA CA YES NO02/20/198591107


AUBURN

530-886-6822 AUBURN CA NO NO02/06/198595603

052615 NAPA DIALYSIS CENTER 707-253-3893 NAPA CA YES NO03/25/198594558

052617 RAI-GARDEN GROVE

BLVD.-GARDEN

714-741-1725 GARDEN GROVE CA YES NO01/01/198792843

052618 FAIRFIELD DIALYSIS CENTER 707-425-5031 FAIRFIELD CA YES NO03/29/198594533

052619 HUNTINGTON DIALYSIS

CENTER

626-792-2054 PASADENA CA YES NO04/01/198591105

052620 DAVITA-HEMET 951-654-4106 SAN JACINTO CA YES NO05/09/198592583

052621 DAVITA-BREA DIALYSIS

CENTER

714-990-0011 BREA CA YES NO05/15/198592821

052622 WHITE MEMORIAL 323-260-0462 LOS ANGELES CA NO NO04/11/198590033

052624 FMC PETALUMA 707-765-5937 PETALUMA CA YES NO08/14/198594954

052625 L.A. DIALYSIS TRAINING

CENTER


052627 LA PALMA DIALYSIS CENTER,

LLC

714-523-3597 LA PALMA CA YES NO07/11/1985059994 90623


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052628 HANFORD DIALYSIS 559-582-2546 HANFORD CA YES NO08/05/198593230

052629 SATELLITE DIALYSIS 831-728-8885 WATSONVILLE CA YES NO08/29/198595076

052630 SATELLITE DIALYSIS 707-526-6071 SANTA ROSA CA YES NO09/23/198595401

052631 WILSHIRE DIALYSIS CENTER 213-482-2518 LOS ANGELES CA YES NO09/09/198590017

052632 GLENDALE DIALYSIS 818-241-1638 GLENDALE CA YES NO09/13/198591205

052633 FMC-MISSION HILLS 818-898-8172 MISSION HILLS CA YES NO10/28/198591345

052634 RAI-CENTINELA-INGLEWOOD 310-673-3686 INGLEWOOD CA NO NO11/20/198590302

052635 BAKERSFIELD DIALYSIS 661-322-2491 BAKERSFIELD CA NO NO11/06/198593309

052637 BURBANK DIALYSIS 818-842-2557 BURBANK CA NO NO01/27/198691504

052638 KIDNEY CENTER OF SIMI

VALLEY, INC.

805-584-4241 SIMI VALLEY CA YES NO11/26/198593065

052641 HUNTINGTON BEACH DIALYSIS 714-846-6210 HUNTINGTON

BEACH

CA NO NO02/06/198692649

052643 TOWER DIALYSIS 310-855-5174 LOS ANGELES CA YES NO07/01/198690048


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052644 ALHAMBRA COMMUNITY

DIALYSIS UNIT

626-458-8472 ALHAMBRA CA YES NO04/14/198691801

052647 SATELLITE DIALYSIS 209-667-7488 TURLOCK CA NO NO03/20/198695382

052648 SAN JUAN CAPISTRANO SOUTH

DIALYSIS

949-240-0145 SAN JUAN

CAPISTRANO

CA NO NO08/01/198692675

052651 FMC BERKELEY 510-843-3062 BERKELEY CA NO NO12/03/198694710

052652 DAVITA-PARAMOUNT DIALYSIS

CENTER

562-634-4977 PARAMOUNT CA YES NO01/05/198790723

052653 FMC-CHULA VISTA DIALYSIS

CENTER- SOUTH

619-429-9920 SAN DIEGO CA NO NO01/01/198792154

052654 RAI-NORTH GAREY POMONA 909-623-3541 POMONA CA YES NO01/06/198791767

052656 FMC-VENTURA 805-658-8921 VENTURA CA YES NO02/20/198793003

052657 RAI-CORPORATE WAY PALM

DESERT

760-346-6758 PALM DESERT CA YES NO03/16/198792260

052658 KIDNEY INSTITUTE OF THE

DESERT

760-347-7818 INDIO CA YES NO03/08/198792201

052661 DAVITA-CORONA DIALYSIS

CENTER

951-736-6666 CORONA CA YES NO08/18/198792881

052663 ANTELOPE DIALYSIS CENTER 916-721-1180 CITRUS HEIGHTS CA NO NO06/15/198795621


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052665 SANTA MONICA DIALYSIS 310-393-3474 SANTA MONICA CA YES NO09/01/198790404

052666 TULARE DIALYSIS 559-688-8899 TULARE CA NO NO10/05/198793274

052667 TRI COUNTIES HOME DIALYSIS 559-734-4083 VISALIA CA YES NO11/20/198793277

052668 FMC-CAMARILLO 805-388-8244 CAMARILLO CA NO NO02/10/198893010

052670 IMPERIAL DIALYSIS 323-779-9539 INGLEWOOD CA YES NO05/19/198890303

052671 DAVITA-UNITED DIALYSIS

CENTER

562-426-6515 LONG BEACH CA YES NO09/01/198890807

052672 FMC-GATEWAY DIALYSIS

CENTER-WEST

619-239-9045 SAN DIEGO CA NO NO07/27/198892102

052673 BAKERSFIELD DIALYSIS

CENTER

661-325-5474 BAKERSFIELD CA YES NO08/18/198893309

052674 DELANO DIALYSIS 661-721-1248 DELANO CA NO NO10/07/198893215

052675 EAST BAY PERITONEAL

DIALYSIS

510-614-4138 SAN LEANDRO CA YES NO11/04/198894578

052676 DCI UNIVERSITY DIALYSIS

CLINIC

916-453-3080 SACRAMENTO CA YES NO11/01/198895816

052677 SAN JOAQUIN VALLEY

DIALYSIS

559-221-1631 FRESNO CA YES NO01/20/198993726


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052678 FMC-GATEWAY DIALYSIS

CENTER-EAST

619-264-4410 SAN DIEGO CA NO NO01/20/198992102

052679 COASTAL DIALYSIS CENTER 310-379-9667 REDONDO BEACH CA NO NO02/01/198990277

052681 FMC-GLENDORA 626-963-3148 GLENDORA CA NO NO04/06/198991741

052682 FONTANA DIALYSIS 909-356-6966 FONTANA CA NO NO06/26/198992335

052683 RAI-EAST OLYMPIC-LOS

ANGELES

323-887-7084 COMMERCE CA YES NO05/22/198990022

052684 SAN GABRIEL REGIONAL

DIALYSIS TRAINING CENTER

626-444-4465 EL MONTE CA YES NO07/22/198991731

052685 HAYWARD DIALYSIS CENTER 510-727-7184 HAYWARD CA NO NO10/18/198994541

052686 FMC-LA MESA DIALYSIS

CENTER

619-462-2999 LA MESA CA NO NO09/26/198991942

052687 FMC-CARSON 310-323-3899 CARSON CA NO NO06/09/198990746

052689 WALNUT CREEK DIALYSIS

CENTER

925-937-7020 WALNUT CREEK CA YES NO08/25/198994598

052690 FMC-EL CENTRO DESERT

VALLEY DIALYSIS CENTER

760-353-3035 EL CENTRO CA YES NO10/31/198992243

052691 PLACERVILLE DIALYSIS CENTER 530-626-6609 PLACERVILLE CA NO NO08/30/198995667


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052694 FMC LOS GATOS 408-358-8379 LOS GATOS CA NO NO03/26/199095032

052695 DAVITA-LOS ANGELES

DIALYSIS CENTER


052696 VISALIA DIALYSIS 559-732-2814 VISALIA CA NO NO07/06/199093291

052699 HIGH DESERT HEMODIALYSIS,

INC.

661-265-5781 PALMDALE CA YES NO09/05/199093551

052700 DAVITA-MONTEREY PARK

DIALYSIS CENTER

323-780-0878 MONTEREY PARK CA YES NO08/30/199091754

052701 BEACH CITIES

DIALYSIS/TORRANCE

310-371-1424 TORRANCE CA NO NO11/02/199090503


JOAQUIN

209-955-5752 STOCKTON CA NO NO11/19/199095219


STOCKTON

209-943-3085 STOCKTON CA NO NO02/26/199195204


ATWATER

209-357-7377 ATWATER CA NO NO03/14/199195301

052707 ALHAMBRA DIALYSIS CENTER 916-457-7825 SACRAMENTO CA NO NO03/22/199195816

052708 FMC-NORTH COAST KIDNEY

CENTER

760-721-1434 OCEANSIDE CA YES NO03/29/199192056

052709 VACAVILLE DIALYSIS CLINIC 707-449-9648 VACAVILLE CA NO NO02/28/199195687


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052710 LA PUENTE DIALYSIS CENTER,

INC.

626-917-7171 LA PUENTE CA NO NO04/08/199191744

052711 SOUTHGATE DIALYSIS 916-395-5758 SACRAMENTO CA NO NO04/26/199195823

052712 INTERCOMMUNITY DIALYSIS

CENTER

562-696-6184 WHITTIER CA YES NO06/17/199190606

052713 UNIVERSITY PARK DIALYSIS

CENTER


052714 DESERT CITIES DIALYSIS 760-241-1806 VICTORVILLE CA YES NO08/05/199192395

052715 PACIFIC DIALYSIS SERVICES,

INC.

310-530-0779 LOMITA CA NO NO09/25/199190717

052716 DAVITA-SANTA ANA DIALYSIS

CENTER

949-251-1122 SANTA ANA CA YES NO08/17/197792705

052717 DAVITA-GREATER EL MONTE

DIALYSIS CENTER

626-350-0669 SOUTH EL MONTE CA NO NO10/15/199191733

052718 DAVITA-NORWALK DIALYSIS

CENTER

562-929-9743 NORWALK CA YES NO11/13/199190650


FRANCISCO

415-928-8900 SAN FRANCISCO CA YES NO06/17/199194115

052720 CITRUS DIALYSIS CENTER 626-331-1013 COVINA CA YES NO12/02/199191723

052721 PERALTA RENAL CENTER 510-835-5015 OAKLAND CA NO NO02/12/199294612


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052722 FMC FREMONT 510-791-1680 FREMONT CA YES NO03/06/199294538


MANTECA

209-823-3307 MANTECA CA NO NO03/10/199295337

052724 SANTA FE COMMUNITY

HEMODIALYSIS CENTER, INC.

562-903-3828 SANTA FE SPRINGS CA YES NO06/11/199290670

052725 DAVITA-DOCTORS DIALYSIS

CENTER OF E.L.A.

323-262-2222 EAST LOS ANGELES CA NO NO07/15/1992059915 90022

052726 MOHAN DIALYSIS CENTER OF

COVINA

626-859-9252 COVINA CA YES NO08/10/1992059914 91723

052727 RAI-INDIAN COURT REDLANDS 909-792-2888 REDLANDS CA YES NO10/14/199292374

052728 OCEAN GARDEN DIALYSIS

CENTER



OAKLAND

510-597-7010 OAKLAND CA YES NO04/23/199394618

052730 DAVITA-MURRIETA 951-698-8786 MURRIETA CA NO NO05/31/1993059921 92562

052731 CHULA VISTA DIALYSIS 619-420-0672 CHULA VISTA CA YES NO06/14/1993059924 91910

052734 ANAHEIM DIALYSIS 714-502-2240 ANAHEIM CA YES NO09/27/1993059927 92801

052735 DAVITA-TEMECULA DIALYSIS

CENTER

951-296-6974 TEMECULA CA YES NO10/06/1993059925 92591


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052738 GAMBRO HEALTHCARE OF LOS

BANOS

209-826-6728 LOS BANOS CA NO NO07/02/199393635

052739 CHINO DIALYSIS 909-464-4034 CHINO CA NO NO11/08/1993059926 91710

052740 RAI-FLETCHER PARKWAY-EL

CAJON

619-442-2412 EL CAJON CA NO NO10/01/198792020

052742 SAN LEANDRO DIALYSIS

CENTER

510-430-0831 SAN LEANDRO CA NO NO01/11/199494577

052743 DAVITA-MOUNTAIN VISTA

DIALYSIS CENTER

909-881-1187 SAN BERNARDINO CA YES NO01/01/1994059929 92404

052744 SOUTH VALLEY REGIONAL

DIALYSIS CENTER

818-757-7452 ENCINO CA YES NO01/01/1994059928 91316

052746 DAVITA-SUNRISE DIALYSIS

CENTER

310-644-4408 HAWTHORNE CA YES NO01/01/1994059930 90250

052747 WEST COAST DIALYSIS

CENTER, INC.

562-989-9301 LONG BEACH CA YES NO05/01/1994059932 90806

052749 DIALYSIS CENTER AT MORENO

VALLEY

951-656-6380 MORENO VALLEY CA YES NO05/01/1994059931 92553

052751 SOUTH COUNTY DIALYSIS 408-848-8541 GILROY CA YES NO08/17/199495020


CHICO

530-893-3377 CHICO CA YES NO08/26/199495926

052753 LODI DIALYSIS CENTER 209-334-4988 LODI CA NO NO10/26/199795242


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052754 AIRPORT DIALYSIS 310-677-7426 INGLEWOOD CA YES NO12/01/1994059936 90304

052755 GREATER LOS ANGELES

DIALYSIS, INC.

626-582-2112 SOUTH EL MONTE CA YES NO02/17/199591733

052756 ENCINITAS DIALYSIS 760-632-2232 ENCINITAS CA YES NO03/27/1995059940 92024

052757 DRS PITTSBURG 925-439-9877 PITTSBURG CA NO NO01/01/199594565

052758 DRS WALNUT CREEK 925-947-7454 WALNUT CREEK CA NO NO01/01/199594598

052759 DRS CONCORD 925-798-8884 PLEASANT HILL CA YES NO01/01/199594523

052760 FMC-SAN GABRIEL DIALYSIS

CENTER

626-457-7900 ALHAMBRA CA YES NO03/20/1995059939 91803

052761 DAVITA-PREMIER DIALYSIS

CENTER

323-562-2551 CUDAHY CA YES NO04/11/199590201

052762 FMC-OXNARD 805-988-8333 OXNARD CA NO NO06/12/199593030

052764 FMC-SAN GABRIEL VALLEY PD

CLINIC

626-457-7654 ALHAMBRA CA YES NO04/27/199591803

052765 COMPREHENSIVE RENAL

SERVICES

916-624-4387 ROCKLIN CA YES NO05/31/199595677

052767 FRESNO DIALYSIS CLINIC

CAPD

559-252-2107 FRESNO CA YES NO07/25/199593727


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052768 DAVITA-DIAMOND VALLEY

DIALYSIS CENTER

951-766-6458 HEMET CA YES NO07/06/199592543

052769 GAMBRO HEALTHCARE SF

CHINATOWN

415-291-1899 SAN FRANCISCO CA NO NO09/19/199594111


SELMA

559-891-1275 SELMA CA NO NO09/27/199593662

052771 GATEWAY HOME DIALYSIS 559-733-3970 VISALIA CA YES NO10/03/1995059950 93291

052772 RAI-HOSPITAL

CIRCLE-WESTMINISTER

714-895-5369 WESTMINSTER CA YES NO12/20/1995059952 92683

052773 WESTMINSTER SOUTH

DIALYSIS

714-897-7565 WESTMINSTER CA NO NO09/29/1995059946 92683

052774 SUNRISE COMMUNITY

DIALYSIS CENTER

916-631-1360 RANCHO CORDOVA CA NO NO11/15/199595742

052775 POTRERO HILL DIALYSIS

CENTER


052776 HI-DESERT DIALYSIS 760-228-8204 YUCCA VALLEY CA YES NO02/06/1996059955 92284

052778 SANTA CLARITA KIDNEY

CENTER

661-222-2737 VALENCIA CA NO NO02/19/1996059951 91355

052779 RAI-MISSION GORGE SAN

DIEGO

619-229-9107 SAN DIEGO CA YES NO03/04/1996059954 92120

052780 FMC-EAST COUNTY DIALYSIS

CENTER

619-588-8750 EL CAJON CA NO NO02/19/1996059949 92021


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052781 NORTH HOLLYWOOD DIALYSIS 818-755-5003 NORTH

HOLLYWOOD

CA NO NO03/11/1996059947 91607

052782 MOUNTAIN VIEW DIALYSIS

CENTER, INC.

626-932-2181 MONROVIA CA YES NO05/01/1996059953 91016

052783 MODESTO KIDNEY CENTER 209-574-4680 MODESTO CA YES NO04/09/199695350

052784 DELTA SIERRA DIALYSIS

CENTER

209-473-3229 STOCKTON CA NO NO04/12/199695207

052785 DAVITA-MONTEBELLO

DIALYSIS CENTER

323-722-2111 MONTEBELLO CA YES NO05/03/1996059959 90640

052786 GAMBRO HEALTHCARE OF EL

CERRITO

510-528-8959 EL CERRITO CA YES NO04/24/199694530


ALAMEDA COUNTY

510-633-3984 OAKLAND CA NO NO04/24/199694605

052788 NEPHRON DIALYSIS CENTER OF

LAKEWOOD

562-663-3078 LAKEWOOD CA YES NO08/08/1996059960 90712

052789 INDIAN WELLS VALLEY

DIALYSIS CENTER

760-371-1750 RIDGECREST CA NO NO06/03/1996059956 93555

052790 KIDNEY CARE CENTER OF THE

NORTH VALLEY

818-366-6460 GRANADA HILLS CA YES NO07/24/1996059961 91344

052791 ROSEMEAD DIALYSIS CENTER 626-280-0616 ROSEMEAD CA YES NO08/20/1996059957 91770

052792 FMC-IMPERIAL COUNTY 760-353-3332 EL CENTRO CA NO NO08/20/1996059958 92243


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052793 SATELLITE DIALYSIS 650-366-6078 REDWOOD CITY CA NO NO07/25/199694063

052794 DAVITA-USC KIDNEY CENTER 323-441-1996 LOS ANGELES CA YES NO11/05/1996059964 90033

052796 DCI MADISON DIALYSIS CLINIC 916-338-8664 SACRAMENTO CA NO NO12/23/199695841

052797 FMC ARDENWOOD 510-744-4079 NEWARK CA NO NO01/31/199794560

052798 RAI-NEWHOPE-FOUNTAIN

VALLEY

714-241-1019 FOUNTAIN VALLEY CA YES NO05/01/199792708

052799 SAN DIEGO SOUTH DIALYSIS 619-262-2196 SAN DIEGO CA NO NO02/28/1997059967 92102

052800 KIDNEY CENTER OF SANTA

PAULA

805-525-5397 SANTA PAULA CA YES NO03/17/1997059962 93060

052801 HOLLYWOOD DIALYSIS CENTER 323-913-3401 LOS ANGELES CA YES NO04/04/1997059963 90027

052802 DAVITA-HARBOR UCLA 310-533-3041 TORRANCE CA YES NO04/02/1997059969 90502

052803 CARSON ARTIFICIAL KIDNEY

CENTER, LLC

310-513-3142 CARSON CA YES NO04/23/1997059965 90749

052804 DAVITA-MONTCLAIR DIALYSIS

CENTER

909-625-5033 MONTCLAIR CA YES NO05/23/1997059971 91763


GRASS VALLEY

530-477-7073 GRASS VALLEY CA NO NO05/02/199795949


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052806 BALDWIN HILLS DIALYSIS

CENTER


052807 DAVITA-VALLEY VIEW

DIALYSIS

951-247-7284 MORENO VALLEY CA YES NO11/06/1998059993 92555

052808 SADDLEBACK DIALYSIS 949-588-8921 LAGUNA HILLS CA YES NO09/10/1997059980 92653

052809 LOS ANGELES COMMUNITY

DIALYSIS-SOUTH



BENICIA

707-745-5148 BENICIA CA YES NO06/30/199794510

052811 RENAL CARE CENTER OF SAN

LUIS OBISPO

805-543-3101 SAN LUIS OBISPO CA YES NO11/19/1997059975 93401

052812 FMC-BLYTHE DESERT DIALYSIS 760-922-2441 BLYTHE CA NO NO10/09/1997059968 92225

052813 SAN FRANCISCO GENERAL

HOSPITAL RENAL CENTER



TRACY

209-839-9039 TRACY CA YES NO10/01/199795376

052815 EASTMONT DIALYSIS CENTER 510-553-3133 OAKLAND CA NO NO10/28/199794605

052816 DESERT CITIES DIALYSIS OF

BARSTOW

760-256-6391 BARSTOW CA YES NO11/12/1997059977 92311

052817 DIALYSIS CENTER OF COLTON 909-430-0093 COLTON CA NO NO01/23/1998059973 92324


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052818 UCSD DIALYSIS CENTER 619-543-3564 SAN DIEGO CA YES NO02/17/199892103

052819 SATELLITE DIALYSIS SAN

MATEO

650-377-7088 SAN MATEO CA YES NO03/10/199894403

052820 RAI-FOOTHILL

BLVD.-GLENDORA

626-335-5755 GLENDORA CA YES NO01/29/1998059986 91740

052821 PACIFIC GATEWAY DIALYSIS,

LLC

310-965-5083 GARDENA CA YES NO02/04/1998059976 90248

052822 OAKLAND PERITONEAL

DIALYSIS CENTER

510-267-7081 OAKLAND CA YES NO03/10/199894612

052825 WOODLAND DIALYSIS

SERVICES, LLC

530-668-8450 WOODLAND CA YES NO03/20/199895695

052826 NORTH HIGHLANDS DIALYSIS

CENTER

916-344-4018 NORTH HIGHLANDS CA YES NO03/19/199895660

052827 KIDNEY CENTER OF PANORAMA

CITY, INC.

818-901-1982 PANORAMA CITY CA YES NO04/27/1998059981 91402

052828 LOS ANGELES DOWNTOWN

DIALYSIS


052829 FMC-SANTA PAULA 805-525-5150 SANTA PAULA CA NO NO05/29/1998059983 93060

052830 FMC-CALEXICO DESERT

DIALYSIS

760-357-7240 CALEXICO CA NO NO05/29/1998059985 92231

052831 FMC ANTIOCH 925-756-6249 ANTIOCH CA NO NO06/13/199894509


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052832 KIDNEY INSTITUTE AT

EISENHOWER MEDICAL CENTER

760-837-7969 RANCHO MIRAGE CA NO NO03/25/1998059979 92270


UKIAH

707-467-7900 UKIAH CA NO NO07/08/199895482

052834 RAI-EL CAMINO REAL

OCEANSIDE

760-757-7183 OCEANSIDE CA NO NO07/10/1998059991 92054

052835 RAI-BROADWAY CHULA VISTA 619-585-5001 CHULA VISTA CA YES NO07/10/1998059990 91911

052836 TOIYABE DIALYSIS CENTER 760-873-3761 BISHOP CA NO NO08/10/1998059970 93514

052837 WESTSIDE DIALYSIS 310-385-5868 LOS ANGELES CA YES NO08/19/1998059984 90048

052838 LOMPOC ARTIFICIAL KIDNEY

CENTER

805-740-0200 LOMPOC CA YES NO10/10/1998059995 93436

052839 NORTHEAST BAKERSFIELD

DIALYSIS

661-872-2983 BAKERSFIELD CA NO NO12/14/1998059987 93306

052840 LONG BEACH DIALYSIS CENTER 562-435-5363 LONG BEACH CA NO NO12/02/1998059992 90813

052841 ANTIOCH DIALYSIS CENTER 925-753-3500 ANTIOCH CA YES NO10/14/199894509

052842 FMC-OCEANSIDE 760-726-6347 OCEANSIDE CA NO NO03/01/1998059989 92056

052843 MONTEBELLO DIALYSIS

CENTER, LLC

323-278-8555 MONTEBELLO CA NO NO04/05/1999059998 90640


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052844 DAVITA-IMPERIAL CARE

DIALYSIS CENTER

310-900-0033 LYNWOOD CA NO NO04/23/1999059996 90262

052845 SOUTH HAYWARD DIALYSIS

CENTER

510-583-3125 HAYWARD CA YES NO04/23/199994544

052846 RENAL SERVICES GROUP OF

INGLEWOOD

310-673-3365 INGLEWOOD CA YES NO06/16/1999059999 90301

052847 FMC-WEST COVINA KIDNEY

CENTER

626-337-7800 WEST COVINA CA NO NO06/24/1999059801 91790

052848 FMC-RIVERSIDE 951-353-3437 RIVERSIDE CA NO NO07/16/1999059997 92505

052850 ORANGEVALE DIALYSIS

CENTER

916-988-8566 ORANGEVALE CA NO NO09/08/199995662

052852 DAVITA-CRESCENT HEIGHTS

DIALYSIS CENTER


052853 OAKDALE KIDNEY CENTER, LLC 209-848-8578 OAKDALE CA NO NO10/08/199995361


INDUSTRY

626-333-3380 CITY OF INDUSTRY CA YES NO01/26/2000059810 91744

052855 FMC-RANCHO CUCAMONGA 909-987-7888 RANCHO

CUCAMONGA

CA YES NO02/07/2000059802 91730

052856 DAVITA-WASHINGTON PLAZA

DIALYSIS CENTER


052857 FLORIN DIALYSIS CENTER 916-424-4399 SACRAMENTO CA NO NO03/10/200095823


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052858 DAVITA-KENNETH HAHN PLAZA

DIALYSIS CENTER


052859 GLENDALE KIDNEY CENTER 818-662-2022 GLENDALE CA NO NO04/25/2000059811 91205

052860 FMC-CHANNEL ISLANDS 805-486-6292 OXNARD CA NO NO05/15/2000059806 93033

052861 FMC-SOUTH ORANGE COUNTY 714-972-2123 SANTA ANA CA NO NO06/26/2000059808 92705

052862 FMC-NORTH ORANGE COUNTY 714-778-8048 ANAHEIM CA NO NO08/08/2000059814 92801

052863 RAI-NORTH RIVERSIDE-RIALTO 909-879-9118 RIALTO CA YES NO06/28/2000059809 92376

052864 FMC-SAN YSIDRO DIALYSIS

CENTER

619-429-9969 SAN DIEGO CA NO NO08/17/2000059805 92154

052865 DAVITA-UCLA MEDICAL

CENTER (ADULT DIALYSIS)


052866 SAN YSIDRO DIALYSIS 619-575-5390 SAN DIEGO CA YES NO01/03/2001059820 92154

052867 EAST PALMDALE DIALYSIS

CENTER

661-456-6150 PALMDALE CA YES NO05/08/2001059813 93550

052868 QUEENS DIALYSIS UNIT, INC. 626-337-7424 WEST COVINA CA YES NO04/23/2001059822 91790

052869 PALMDALE REGIONAL DIALYSIS

CENTER

661-540-0092 PALMDALE CA NO NO07/03/2001059824 93550


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052870 SATELLITE DIALYSIS 408-617-7188 SUNNYVALE CA NO NO06/04/200194086

052871 CENTRAL COAST KIDNEY

DISEASE CENTER

805-349-9860 SANTA MARIA CA YES NO07/17/2001059821 93454

052872 FLORENCE DIALYSIS CENTER 323-789-9569 LOS ANGELES CA NO NO05/23/2001059817 90003

052873 KIDNEY CENTER OF THOUSAND

OAKS, INC.

805-557-7103 THOUSAND OAKS CA YES NO10/26/2001059823 91361

052874 SATELLITE DIALYSIS, SOUTH

SAN FRANCISCO

650-616-6778 SOUTH SAN

FRANCISCO

CA YES NO01/16/200294080

052875 INTENSIVE RENAL CARE 323-692-2070 LOS ANGELES CA NO NO12/04/2001059819 90036

052876 OROVILLE DIALYSIS CLINIC 530-532-2680 OROVILLE CA YES NO01/09/200295965

052877 PLUMAS STREET DIALYSIS

CENTER

530-673-3665 YUBA CITY CA NO NO11/20/200195991

052878 FMC-SAN BERNARDINO 909-890-0950 SAN BERNARDINO CA NO NO01/30/2002059826 92408

052879 HACIENDA DIALYSIS CENTER 626-968-8955 HACIENDA

HEIGHTS

CA YES NO12/17/2001059828 91745

052880 FMC-BELLFLOWER 562-920-0207 BELLFLOWER CA YES NO01/30/2002059825 90706

052881 NEWPORT BEACH DIALYSIS 949-631-1010 NEWPORT BEACH CA NO NO04/01/199992663


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052882 FMC-WEST LOS ANGELES 310-674-4964 INGLEWOOD CA NO NO03/12/2002059829 90301

052883 SAN DIEGO EAST DIALYSIS 619-262-2722 SAN DIEGO CA YES NO05/29/2002059833 92114

052884 WHITTIER KIDNEY DIALYSIS

CENTER

562-947-7899 WHITTIER CA YES NO06/05/2002CS9831 90603

052885 FMC-DIALYSIS SERVICES OF

PARADISE

619-475-5287 SAN DIEGO CA NO NO07/25/2002CS9836 92139


COLLEGE

619-516-6480 SAN DIEGO CA NO NO07/24/2002CS9835 92115

052887 SATELLITE DIALYSIS 707-836-6109 WINDSOR CA NO NO09/04/200295492

052888 PARKWAY KIDNEY CENTER 209-574-4681 MODESTO CA NO NO09/04/200295350

052889 FMC-NORTH LONG BEACH 310-639-9312 LONG BEACH CA NO NO07/22/2002CS9827 90805

052890 FMC-ANTELOPE VALLEY 661-729-9568 LANCASTER CA NO NO11/20/2002CS9842 93536

052891 WELLBOUND OF SAN JOSE LLC 408-269-9360 SAN JOSE CA YES NO12/20/200295125

052892 SOLEDAD DIALYSIS CENTER 831-678-8431 SOLEDAD CA YES NO10/22/200293960

052893 TEMPLE CITY DIALYSIS

FACILITY, INC.

626-442-2340 TEMPLE CITY CA YES NO01/13/2003CS9844 91780


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

052894 RAI-MONROE INDIO 760-347-7398 INDIO CA NO NO09/11/2002CS9837 92201

052895 DAVITA-LAKE ELSINORE

DIALYSIS CENTER

951-674-4505 LAKE ELSINORE CA YES NO11/18/2002CS9839 92530

052896 CERRITOS DIALYSIS CENTER,

LLC

562-924-4999 CERRITOS CA NO NO01/02/2003CS9841 90703

052897 DAVITA-TUSTIN DIALYSIS

CENTER

714-835-5245 SANTA ANA CA YES NO02/21/2003CS9847 92705

052898 RAI-LAGUNA CANYON-IRVINE 949-727-7449 IRVINE CA YES NO02/19/2003CS9846 92618

052899 KIDNEY CENTER OF LOS

ANGELES

213-481-1304 LOS ANGELES CA YES NO03/12/2003CS9845 90017

053302 CHILDRENS HOSPITAL OF LOS

ANGELES

323-669-9210 LOS ANGELES CA YES YES07/28/1977052321 90027

053302 CHILDRENS HOSPITAL OF LOS

ANGELES (RENAL

TRANSPLANT)


053303 CHILDRENS HOSPITAL OF SAN

DIEGO (RENAL TRANSPLANT)


053305 LUCILLE PACKARD STANFORD

PEDIATRIC DIALYSIS

650-724-4035 PALO ALTO CA YES YES04/13/1995052390 94304

053305 LUCILLE PACKARD STANFORD

PED TRANSPLANT

650-498-8548 PALO ALTO CA YES YES04/13/1995052390 94304

053501 PEDIATRIC DIALYSIS UNIT AT

UCSF



Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

053506 KAWEAH DELTA DIALYSIS

FACILITY

559-635-5088 VISALIA CA YES NO08/22/197793292

053512 PORTERVILLE HEMODIALYSIS

FACILITY

559-781-1555 PORTERVILLE CA YES NO04/16/198693257

053514 EVERGREEN DIALYSIS 408-238-8910 SAN JOSE CA YES NO05/11/198795122

053516 BURLINGAME DIALYSIS 650-696-6368 BURLINGAME CA YES NO03/22/199094010

053517 SUTTER DIALYSIS CENTER 916-731-1775 SACRAMENTO CA YES NO05/01/199195816

053519 SUTTER DIALYSIS CENTER

SOUTH

916-421-1614 SACRAMENTO CA NO NO04/14/199395831

053520 ROSE GARDEN DIALYSIS

CENTER

408-494-4100 SAN JOSE CA YES NO04/20/199495126

053521 MEE MEMORIAL

HOSPITAL-DIALYSIS

831-385-5603 KING CITY CA NO NO03/29/199593930

053523 UC CHRONIC DIALYSIS/MT.

ZION


053524 COMMUNITY DIALYSIS CENTER

- CLOVIS

559-324-4403 CLOVIS CA YES NO08/21/200193611

053525 COMMUNITY DIALYSIS CENTER 559-459-9390 FRESNO CA NO NO04/18/200293701

552500 GAMBRO HEALTHCARE - PENN

VALLEY

530-432-2227 PENN VALLEY CA YES NO01/23/200395946


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

552501 ADVANCED DIALYSIS CENTER 626-856-6333 BALDWIN PARK CA NO NO03/05/2003CS9834 91706

552502 RAI-EAST FIRST

STREET-TUSTIN

714-730-0142 TUSTIN CA YES NO03/05/2003CS9848 92780

552503 FMC SANTA ROSA NORTH 707-568-8175 SANTA ROSA CA NO NO02/05/200395403

552504 TOKAY DIALYSIS CENTER 209-369-9541 LODI CA YES NO04/02/200395240


FRESNO NORTH

559-438-8851 FRESNO CA NO NO03/17/200393711

552506 FMC-IRWINDALE 626-856-6394 IRWINDALE CA YES NO05/12/2003CS9852 91706

552507 KIDNEY CENTER OF SHERMAN

OAKS, INC.

818-285-5591 SHERMAN OAKS CA YES NO05/14/2003CS9838 91403

552508 FMC-WOODLAND HILLS

DIALYSIS CENTER

818-713-3904 WOODLAND HILLS CA NO NO06/04/2003CS9849 91364

552509 DAVITA-WHITTIER DIALYSIS

CENTER

562-947-7180 WHITTIER CA YES NO06/16/2003552509 90603

552510 CREEKSIDE DIALYSIS 707-453-3132 VACAVILLE CA NO NO08/06/200395688

552511 DAVITA-ROSEMEAD SPRINGS

DIALYSIS

626-280-0208 EL MONTE CA NO NO07/07/2003CS9854 91731

552512 FMC OF BRENTWOOD 925-513-3713 BRENTWOOD CA NO NO10/28/200394513


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

552513 COLLEGE DIALYSIS 619-287-7879 SAN DIEGO CA YES NO10/31/2003CS9851 92115

552514 WELLBOUND OF MENLO PARK

LLC

650-566-6018 MENLO PARK CA YES NO10/29/200394025

552515 CARMEL MOUNTAIN DIALYSIS 858-538-8108 SAN DIEGO CA YES NO10/31/2003CS9850 92129

552516 FMC-RANCHO 858-385-5070 SAN DIEGO CA NO NO10/31/2003CS9856 92127

552517 ARROYO DIALYSIS CENTER 626-441-1950 PASADENA CA YES NO10/22/2003CS9855 91105

552518 COSTA MESA DIALYSIS 714-540-0940 COSTA MESA CA YES NO12/12/2003CS9858 92626

552519 RANCHO DIALYSIS CLINIC 916-857-7181 SACRAMENTO CA NO NO12/24/200395827

552520 BANNING DIALYSIS 951-845-5449 BANNING CA YES NO01/14/2004CS9860 92220

552521 BAKERSFIELD SOUTH DIALYSIS 661-396-6715 BAKERSFIELD CA YES NO12/23/2003CS9857 93309

552522 GAMBRO HEALTHCARE SOLANO 707-434-4908 FAIRFIELD CA YES NO03/10/200494534


STOCKTON HOME

209-944-4905 STOCKTON CA YES NO07/14/200495204

552524 WELLBOUND OF MODESTO 209-238-8408 MODESTO CA YES NO07/13/200495354


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

552525 FMC-SAN FERNANDO 818-837-7998 SAN FERNANDO CA YES NO04/28/2004CS9859 91340

552526 CALIFORNIA KIDNEY CARE

CENTER

213-867-7111 LOS ANGELES CA YES NO05/10/2004CS9843 90015

552527 RAI-HARBOR BLVD.-GARDEN

GROVE

714-539-9312 GARDEN GROVE CA YES NO04/23/2004CS9863 92840

552528 TURLOCK DIALYSIS CLINIC 209-656-6729 TURLOCK CA YES NO08/25/200495380

552529 ELK GROVE DIALYSIS 916-691-1048 ELK GROVE CA NO NO07/30/200495758

552530 SOUTH CHICO DIALYSIS

CENTER

530-894-4218 CHICO CA NO NO08/11/200495928

552531 ESCONDIDO HOME TRAINING

DIALYSIS

760-747-7741 ESCONDIDO CA YES NO10/01/2004CS9864 92025

552532 FMC-SOUTH BAY 310-539-9122 HARBOR CITY CA YES NO09/15/2004CS9862 90710

552533 MARYSVILLE DIALYSIS CENTER 530-741-1980 MARYSVILLE CA YES NO11/12/200495901

552534 COLUSA INDIAN HEALTH

CLINIC DIALYSIS

530-458-8370 COLUSA CA NO NO10/21/200495932

552535 CONCORD DIALYSIS CENTER 925-677-7749 CONCORD CA NO NO11/14/200494520

552536 SATELLITE DIALYSIS -

CENTRAL MODESTO

209-238-8408 MODESTO CA NO NO12/17/200495354


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

552537 DCI REDDING 530-246-6114 REDDING CA YES NO01/05/200596003


GLENDORA

626-914-4555 GLENDORA CA YES NO10/25/2004CS9865 91740

552540 GAMBRO HEALTHCARE PLACER 916-773-3400 ROSEVILLE CA YES NO02/14/200595661

552541 DAVITA-CITRUS VALLEY

DIALYSIS

909-388-8660 SAN BERNARDINO CA YES NO03/31/2005CS9866 92408

552542 GAMBRO HEALTHCARE ELK

GROVE

916-478-8352 ELK GROVE CA YES NO01/28/200595758

552544 DAVITA-CROSSROADS

DIALYSIS CENTER

714-577-7694 FULLERTON CA YES NO07/29/2005CS9871 92831

552545 ANAHEIM HILLS DIALYSIS

CENTER

714-996-6290 ANAHEIM CA YES NO07/15/200592807

552547 CANYON COUNTRY DIALYSIS

CENTER

661-298-8530 CANYON COUNTRY CA NO NO09/14/2005CS9872 91387

552548 DAVITA-ONTARIO DIALYSIS 909-930-0556 ONTARIO CA NO NO08/31/2005CS9870 91761

060014 PRESBYTERIAN/ST. LUKE S

MEDICAL CEN - KIDNEY

TRANSPLANT CENT

303-869-9215 DENVER CO NO YES10/01/1985062310 80218

060023 ST. MARY S

HOSPITAL/DIALYSIS UNIT

970-244-4219 GRAND JUNCTION CO YES NO07/14/1977062302 81501

060024 UNIVERSITY HOSPITAL -

DIALYSIS

303-372-2655 DENVER CO YES YES09/01/1977062303 80262


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

06005F DENVER VETERANS AFFAIRS

MEDICAL CTR-DIALYSIS

303-399-9802 DENVER CO YES NO10/21/1997062306 80220

060064 PORTERCARE TRANSPLANT

SERVICES

303-778-8579 DENVER CO NO YES01/27/1986062307 80210

060076 THE JAMES HARRIGAN CENTER

- DIALYSIS

970-521-1320 STERLING CO NO NO04/03/1995062313 80751

062501 RCG - ROCKY MOUNTAIN 303-320-0689 DENVER CO YES NO06/16/198380220

062502 DAVITA - LAKEWOOD 303-238-8611 LAKEWOOD CO YES NO07/11/198080214

062505 FMC - NORTHERN COLORADO

KIDNEY CENTER

970-493-3757 FORT COLLINS CO YES NO05/16/198380524

062507 DAVITA - PIKES PEAK DIALYSIS

CENTER

719-471-1461 COLORADO

SPRINGS

CO YES NO12/10/197980909

062510 FMC - WILLOW STATION

DIALYSIS

970-330-0610 GREELEY CO NO NO04/08/198780634

062511 DAVITA - THORNTON 303-430-0702 THORNTON CO YES NO09/04/199780260

062514 DAVITA - AURORA 303-368-8191 AURORA CO NO NO09/01/198880012

062516 DAVITA - WESTMINSTER 303-427-7240 WESTMINSTER CO NO NO11/19/199080030

062517 DAVITA - BOULDER 303-440-0560 BOULDER CO NO NO10/01/199080304


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

062518 DAVITA - SOUTH DENVER 303-733-3430 DENVER CO YES NO03/11/199480210

062519 DAVITA - LITTLETON 303-730-0754 LITTLETON CO NO NO09/15/199380129

062520 FMC - PUEBLO, LLC 719-545-5157 PUEBLO CO YES NO08/24/198481001

062521 DAVITA - ARVADA 303-456-6955 ARVADA CO NO NO11/22/199580005

062522 FMC - CANON CITY 719-276-6840 CANON CITY CO NO NO04/06/199981212

062523 FMC LOVELAND DIALYSIS 970-663-3915 LOVELAND CO NO NO12/09/199680538

062524 DAVITA - PRINTERS PLACE

DIALYSIS CENTER

719-630-0060 COLORADO

SPRINGS

CO YES NO11/08/199680910

062525 FMC - LA JUNTA 719-383-3230 LA JUNTA CO NO NO09/02/199781050

062526 FMC - WALSENBURG 719-738-8486 WALSENBURG CO NO NO01/17/199781089

062527 RCG - CENTRAL DENVER 303-765-5169 DENVER CO NO NO01/24/199780209


CLINIC CORTEZ

970-565-5430 CORTEZ CO YES NO04/29/199881321

062529 DAVITA - LOWRY 303-367-7094 DENVER CO YES NO09/22/199880230


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

062530 DCI - MONTROSE 970-240-0330 MONTROSE CO NO NO08/28/199881401

062531 DAVITA - ENGLEWOOD

DIALYSIS

303-761-1060 ENGLEWOOD CO YES NO03/05/199980110

062532 SUMMIT KIDNEY CENTERS 719-447-7081 COLORADO

SPRINGS

CO YES NO07/13/1999061114X 80909

062533 DAVITA - COMMERCE CITY 303-853-3430 COMMERCE CITY CO NO NO02/28/2000061117 80022

062534 DAVITA - LONGMONT 303-485-5408 LONGMONT CO NO NO04/04/200080501

062535 DAVITA - LAKEWOOD

CROSSING

720-962-2619 LAKEWOOD CO NO NO10/11/200080226


LAMAR

719-336-6117 LAMAR CO NO NO07/17/200181052

062537 FMC PUEBLO SOUTH 719-564-4244 PUEBLO CO NO NO10/10/200181004

062538 DCI- GRAND JUNCTION 970-255-5090 GRAND JUNCTION CO YES NO01/18/200281506

062539 RENAL NURSE ASSOCIATES,

LLC

303-403-3078 DENVER CO NO NO03/22/200280206

062540 DAVITA - EAST AURORA

DIALYSIS

303-696-6113 AURORA CO NO NO05/01/200280017

062541 DAVITA - WESTERN HOME

DIALYSIS

303-232-2093 LAKEWOOD CO YES NO08/23/200280214


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

062542 DAVITA - BRIGHTON DIALYSIS 303-659-9251 BRIGHTON CO NO NO05/27/200480601

062543 DAVITA- LONETREE DIALYSIS 303-662-2046 ENGLEWOOD CO NO NO11/17/200480112

062544 DAVITA- BELCARO DIALYSIS 303-777-7284 DENVER CO NO NO11/19/200480246

062545 RCG - AURORA 303-340-0139 AURORA CO NO NO02/02/200580011

062546 DAVITA - DENVER DIALYSIS 303-292-2030 DENVER CO NO NO04/27/200580205

062547 DAVITA - DURANGO DIALYSIS

CENTER

970-385-5860 DURANGO CO YES NO05/04/200581301

062548 FMC - DIALYSIS SERVICES OF

PARK HILL

303-322-2151 DENVER CO YES NO09/14/200580238

062549 SUMMIT KIDNEY CENTERS OF

TRINIDAD

719-845-5000 TRINIDAD CO YES NO10/13/200581082

062550 DAVITA - ALAMOSA DIALYSIS 719-587-7144 ALAMOSA CO NO NO04/01/200581101

063301 THE CHILDRENS HOSPITAL

KIDNEY CENTER

303-861-1393 DENVER CO YES YES02/02/1992062311 80218

063301 CHILDRENS HOSPITAL -

KIDNEY TRANSP

303-764-4846 DENVER CO NO YES02/02/1992062311 80218

063500 VACATION KIDNEY CENTER OF

THE ROCKIES U OF CO

303-443-3474 GRANBY CO YES NO07/01/200580446


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

070022 YALE NEW HAVEN ORGAN

TRANSPLANT CTR, DEPT. OF

SURGERY

203-785-5256 NEW HAVEN CT NO YES07/01/197306520

070025 HARTFORD HOSPITAL 860-545-5207 HARTFORD CT YES YES08/25/1977072307 06102

070025 HARTFORD HOSPITAL -

TRANSPLANT

860-545-5421 HARTFORD CT NO YES08/25/197706102

070033 DANBURY HOSPITAL 203-797-7738 DANBURY CT YES NO08/25/1977072308 06810

070035 NEW BRITAIN GENERAL

HOSPITAL

860-224-4519 NEW BRITAIN CT YES NO08/25/1977072310 06050

07003F VA MEDICAL CENTER - WEST

HAVEN

203-932-2571 WEST HAVEN CT YES NO01/01/196706516

07100P UCONN DIALYSIS CENTER

SATELLITE UNIT

860-627-7228 SUFFIELD CT YES NO11/05/200106080


BRIDGEPORT

203-335-5019 BRIDGEPORT CT YES NO08/25/197706606

072503 NEW HAVEN CAPD 203-773-3085 NEW HAVEN CT YES NO09/21/198306511


STAMFORD

203-358-8996 STAMFORD CT YES NO09/03/198506902

072505 DIALYSIS CENTER OF

NEWINGTON

860-667-7389 NEWINGTON CT YES NO10/17/198906111

072506 ENFIELD DIALYSIS CENTER 860-745-5980 ENFIELD CT YES NO09/28/199006082


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

072507 GAMBRO HEALTHCARE - NEW

HAVEN

203-785-5888 NEW HAVEN CT YES NO10/12/199306519

072508 CENTRAL CT DIALYSIS CENTER 203-639-9288 MERIDEN CT YES NO01/14/199406450

072509 EAST HARTFORD DIALYSIS

CENTER

860-282-2626 EAST HARTFORD CT YES NO02/08/199406108


SHELTON

203-925-5952 SHELTON CT NO NO03/31/199506484


GREATER WATERBURY

203-574-4793 WATERBURY CT YES NO12/01/199506708

072512 ST. RAPHAEL DIALYSIS CENTER

- NEW HAVEN

203-789-9340 NEW HAVEN CT YES NO08/05/199606511

072513 MILFORD DIALYSIS CENTER 203-876-6139 MILFORD CT NO NO02/22/199906460


MILFORD

203-882-2901 MILFORD CT NO NO03/17/199906460


LONDON

860-701-1135 NEW LONDON CT YES NO09/09/199906320


HARTFORD

860-242-2073 HARTFORD CT YES NO10/18/199906112


BRANFORD

203-481-1853 BRANFORD CT NO NO12/03/199906405

072518 PHYSICIANS DIALYSIS, INC. -

ROCKY HILL

860-563-3600 ROCKY HILL CT YES NO12/15/199906067


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

072519 UCONN DIALYSIS CENTER 860-678-8145 FARMINGTON CT YES NO12/29/199906032


NORWICH

860-859-9917 NORWICH CT YES NO11/01/199906360


NORWALK

203-838-8601 NORWALK CT YES NO07/28/200006856

072522 ST. RAPHAEL DIALYSIS CENTER

- BRANFORD

203-315-5811 BRANFORD CT NO NO08/17/200006405


TORRINGTON

860-496-6066 TORRINGTON CT YES NO10/05/200006790

072524 MIDDLESEX DIALYSIS CENTER,

LLC.

860-346-6560 MIDDLETOWN CT YES NO11/15/200006457

072527 FMC DIALYSIS SERVICES

FORESTVILLE

860-584-4215 BRISTOL CT YES NO01/30/200206010


BLOOMFIELD

860-243-3538 BLOOMFIELD CT NO NO06/16/200306002

073500 ROCKVILLE GENERAL HOSPITAL

DIALYSIS UNIT IN NORTH

WINDHAM

860-456-6167 NORTH WINDHAM CT NO NO10/01/200106256

073501 ROCKVILLE GENERAL HOSPITAL

DIALYSIS UNIT IN VERNON

860-896-6489 VERNON CT YES NO07/12/2000070012 06066

090003 HOWARD UNIVERSITY

HOSPITAL

202-865-5736 WASHINGTON DC YES YES09/01/197720060

090004 GEORGETOWN UNIVERSITY

HOSPITAL

202-444-4366 WASHINGTON DC NO NO09/01/197720007


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

090004 GEORGETOWN UNIVERSITY

HOSPITAL - TRANSPLANT

202-444-4370 WASHINGTON DC NO YES09/01/197720007

090008 GREATER SOUTHEAST

COMMUNITY HOSPITAL

202-574-4656 WASHINGTON DC YES NO08/01/198420032

090011 WASHINGTON HOSPITAL

CENTER


090011 WASHINGTON HOSPITAL

CENTER - TRANSPLANT


09002F VA HOSPITAL - DC 202-745-5810 WASHINGTON DC NO NO08/01/199020422

09003F WALTER REED ARMY MEDICAL

CENTER


092501 BMA - DUPONT CIRCLE 202-483-3017 WASHINGTON DC NO NO01/01/197920036

092502 BMA - CAPITOL HILL 202-547-7288 WASHINGTON DC NO NO09/01/197720003

092503 BMA - COLUMBIA HEIGHTS 202-829-9006 WASHINGTON DC YES NO09/01/197720010

092505 GREATER SOUTHEAST



092508 EAST RIVER PARK DIALYSIS

CENTER


092510 DA VITA - LEE STREET

DIALYSIS



Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

092513 DAVITA - EIGHTH STREET 202-543-3910 WASHINGTON DC YES NO10/01/198820002

092515 BMA - NORTHEAST

WASHINGTON


092516 TOTAL RENAL CARE -

GEORGETOWN


092517 DAVITA - SE 202-581-1944 WASHINGTON DC NO NO03/01/199520020

092518 DAVITA - GWU N STREET 202-861-1225 WASHINGTON DC YES NO03/01/199520036

092519 DAVITA - BRENTWOOD 202-636-6371 WASHINGTON DC YES NO04/01/199520018

092520 UNION PLAZA DIALYSIS

CENTER


092521 CAPITOL DIALYSIS 202-636-6941 WASHINGTON DC YES NO05/21/200120002

092522 GRANT PARK NURSING HOME

DIALYSIS


092523 CAPITOL DIALYSIS -

NORTHWEST


093300 CHILDRENS NATIONAL

MEDICAL CENTER


093300 CHILDRENS NATIONAL

MEDICAL CENTER -

TRANSPLANT



Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

080001 CHRISTIANA CARE HEALTH

SYSTEM

302-733-3100 NEWARK DE YES NO09/01/1977082300 19718

080004 BAYHEALTH MEDICAL CENTER,

KENT GENERAL CAMPUS

302-744-4732 DOVER DE NO NO01/01/1988082301 19901

080007 BEEBE MEDICAL CENTER 302-645-5364 LEWES DE YES NO07/09/1999082303 19958

08002F WILMINGTON VETERANS

ADMINISTRATION MEDICAL

CENTER

302-633-3523 WILMINGTON DE NO NO10/01/198819805

082501 RENAL CARE CENTER OF

BRANDYWINE

302-658-8746 WILMINGTON DE YES NO09/01/197719801


DOVER

302-678-8571 DOVER DE YES NO12/23/197819901

082503 FMC - MID SUSSEX COUNTY 302-854-4023 GEORGETOWN DE NO NO04/13/198819947

082505 WILMINGTON DIALYSIS

CENTER

302-762-2858 WILMINGTON DE YES NO12/15/198919802


CHRISTIANA

302-453-3883 NEWARK DE YES NO12/29/198919702


MILFORD, INC.

302-424-4055 MILFORD DE YES NO02/23/199519963


SEAFORD, INC.

302-628-8315 SEAFORD DE NO NO03/16/199819973


FIRST STATE, INC.

302-328-8904 NEW CASTLE DE NO NO04/27/199819720


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


REHOBOTH, INC.

302-226-6933 REHOBOTH BEACH DE NO NO06/28/200019971


WILMINGTON, INC.



SMYRNA, INC.

302-659-9522 SMYRNA DE NO NO11/20/200219977

082513 DAVITA - NEWPORT DIALYSIS

CENTER


083300 ALFRED I. DUPONT HOSPITAL

FOR CHILDREN DIALYSIS

CENTER

302-651-1537 WILMINGTON DE YES YES07/21/1993082302 19899

083300 ALFRED I. DUPONT HOSPITAL

FOR CHILDREN TRANSPLANT

CENTER

302-651-1488 WILMINGTON DE NO YES07/21/1993082302 19899

100001 SHANDS JACKSONVILLE - ESRD 904-244-4544 JACKSONVILLE FL YES NO09/01/1976102300 32209

100007 FLORIDA HOSPITAL DIALYSIS

UNIT

407-303-3195 ORLANDO FL NO YES09/01/1976102302 32803

100007 FLORIDA HOSPITAL

TRANSPLANT CENTER

407-303-3247 ORLANDO FL NO YES09/01/1976102302 32804

100014 BERT FISH MEDICAL CENTER -

RENAL TRANSPLANT CENTER

386-424-4644 NEW SMYRNA

BEACH

FL NO YES06/15/1999102307 32168

100022 JACKSON MEMORIAL HOSP

DIALYSIS PEDIATRIC

305-585-5537 MIAMI FL YES YES09/01/1976102304 33136

100022 JACKSON MEMORIAL HOSP

TRANSPLANT CT

305-355-5500 MIAMI FL NO YES09/01/1976102304 33136


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

100038 MEMORIAL REGIONAL HOSP -

DIALYSIS

954-985-5586 HOLLYWOOD FL NO NO09/01/1976102306 33021

100088 BAPTIST MEDICAL CENTER -

PEDIATRIC DIALYSIS

904-202-2847 JACKSONVILLE FL YES NO01/01/1989102330 32207

10009F VAMC-BAY PINES 727-398-8666 BAY PINES FL YES NO10/15/199333744

100113 SHANDS HOSPITAL -

PEDIATRIC DIALYSIS

352-265-5025 GAINESVILLE FL YES YES09/01/1976102312 32608

100113 SHANDS HOSPITAL -

TRANSPLANT CENTER

352-265-5011 GAINESVILLE FL NO YES09/01/1976102312 32610

10011F VAMC-MIAMI-DIALYSIS

UNIT-111C

305-575-5316 MIAMI FL YES NO10/01/199033125

100128 TAMPA GEN HOSP-PEDIATRIC

DIALYSIS

813-844-4421 TAMPA FL YES YES09/01/1976102314 33601

100128 TAMPA GENERAL HOSP

TRANSPLANT CENTER

813-349-9650 TAMPA FL NO YES09/01/1976102314 33606

100151 SAINT LUKES HOSPITAL -

DIALYSIS UNIT

904-296-6563 JACKSONVILLE FL YES YES12/22/198832216


TRANSPLANT CENTER

904-296-6907 JACKSONVILLE FL NO YES12/22/1988102333 32216

100170 METHODIST HOSPITAL

TRANSPLANT CENTER

904-244-4980 JACKSONVILLE FL NO YES09/12/1989102335 32209

100220 SW FLORIDA REG MEDICAL

CENTER TRANSPLANT

239-939-9844 FORT MYERS FL NO YES05/08/1990102321 33901


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

100288 SAINT MARYS HOSPITAL

DIALYSIS UNIT

561-882-2647 WEST PALM BEACH FL YES NO09/01/1976102303 33407

10061F VAMC-TAMPA-NEPHROLOGY

SECTION-111F

813-972-2757 TAMPA FL YES NO10/01/197033612

10065F VAMC-PALM BEACH DIALYSIS -

118CCP

561-422-2820 WEST PALM BEACH FL YES NO06/23/199533410

102501 NEPHROLOGY CENTER OF

PENSACOLA

850-444-4472 PENSACOLA FL YES NO09/01/197632501

102502 BMA - SOUTH MIAMI 305-255-5310 MIAMI FL YES NO09/01/197633176

102503 DADE DIALYSIS CENTER 305-324-4172 MIAMI FL NO NO09/01/197633136

102504 SOUTH BROWARD ARTIFICIAL

KIDNEY CENTER

954-962-2221 HOLLYWOOD FL NO NO09/01/197633021

102505 CENTRAL FLORIDA KIDNEY

CENTER

407-843-3611 ORLANDO FL YES NO09/01/197632801

102506 BMA - TAMPA 813-872-2093 TAMPA FL YES NO09/01/197633609

102510 DIALYSIS ASSOC OF THE PALM

BEACHES


102511 BMA - ORLANDO 407-898-8481 ORLANDO FL YES NO09/01/197632804

102512 BMA - GAINESVILLE 352-332-2899 GAINESVILLE FL YES NO09/01/197632605


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

102513 GAMBRO HEALTHCARE - FORT

MYERS

239-939-9021 FORT MYERS FL YES NO09/01/197633901

102514 DAVITA - PANAMA CITY 850-785-5123 PANAMA CITY FL YES NO09/01/197632405

102517 MELBOURNE KIDNEY CENTER 321-724-4046 MELBOURNE FL YES NO09/01/197632901

102518 WEST FLORIDA DIALYSIS 850-474-4842 PENSACOLA FL NO NO09/01/197632515

102519 BMA - SAINT PETERSBURG 727-576-6025 SAINT PETERSBURG FL YES NO09/01/197633702

102520 BOCA RATON ARTIFICIAL

KIDNEY CENTER

561-392-2394 BOCA RATON FL NO NO09/01/197633486


DAYTONA BEACH

386-258-8732 DAYTONA BEACH FL NO NO09/01/197632114

102522 BMA - KENDALL 305-279-9201 MIAMI FL NO NO09/01/197633173


LAKELAND

863-688-8546 LAKELAND FL NO NO09/01/197633805

102525 TREASURE COAST KIDNEY

CENTER NORTH

772-286-6247 STUART FL YES NO09/01/197634996

102527 JUPITER KIDNEY CENTER LLC 561-744-4466 JUPITER FL YES NO08/01/197833458

102528 RAI CARE CENTERS -

CLEARWATER

727-461-1547 CLEARWATER FL YES NO06/30/197833756


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

102529 PDA STAFF ASSIST PROGRAM 727-815-5838 NEW PORT RICHEY FL YES NO09/16/197834652

102530 BMA - HIALEAH 305-825-5204 HIALEAH FL YES NO06/01/197833016

102531 DIALYSIS CLINIC INC 904-355-5660 JACKSONVILLE FL YES NO12/13/197832204

102532 INTERAMERICAN DIALYSIS

INSTITUTE

305-261-1482 MIAMI FL YES NO12/02/197833155

102534 NAPLES ARTIFICIAL KIDNEY

CENTER

239-263-3080 NAPLES FL YES NO02/17/197934105

102536 PLANTATION ARTIFICIAL

KIDNEY CENTER

954-583-3210 PLANTATION FL NO NO01/10/198033317

102538 BRADENTON ARTIFICIAL

KIDNEY CENTER

941-792-2329 BRADENTON FL YES NO01/07/198034209

102542 BMA - CLEARWATER 727-796-6912 CLEARWATER FL YES NO06/25/198033763

102543 FMC DIALYSIS SERVICES - KEY

WEST

305-294-4845 KEY WEST FL NO NO07/14/198033040

102544 NW BROWARD ARTIFICIAL

KIDNEY CENTER

954-977-7755 MARGATE FL YES NO11/14/198033063


WINTER HAVEN

863-294-4885 WINTER HAVEN FL YES NO01/28/198133881

102546 BMA - SANFORD 407-323-3370 SANFORD FL YES NO12/15/198032771


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

102546 HIC OF FLORIDA - SANFORD 800-944-4775 SANFORD FL YES NO12/15/198032771

102547 BMA - SOUTH SAINT

PETERSBURG

727-321-1252 SAINT PETERSBURG FL YES NO10/01/198033713

102548 BMA - LAKE CITY 386-755-5499 LAKE CITY FL NO NO06/01/198132025

102549 PORT CHARLOTTE ARTIFICIAL

KIDNEY CT

941-625-5282 PORT CHARLOTTE FL NO NO08/03/198133980

102551 RTC - LEESBURG 352-728-8115 LEESBURG FL YES NO09/24/198134748

102553 BREVARD KIDNEY &

HYPERTENSION CENTER

321-452-2002 MERRITT ISLAND FL YES NO02/04/198232952

102554 GAMBRO HEALTHCARE - PLANT

CITY

813-752-2213 PLANT CITY FL YES NO04/02/198233563


BROWARD COUNTY

954-396-6899 FORT LAUDERDALE FL NO NO09/01/198233304

102557 FMC DIALYSIS SERVICES -

SAINT AUGUSTINE

904-824-4619 SAINT AUGUSTINE FL YES NO12/20/198232084

102558 NORTH BEACH DIALYSIS

CENTER

305-653-3722 MIAMI FL YES NO02/23/198333169

102559 FLORIDA KIDNEY CENTER 954-578-8767 LAUDERHILL FL YES NO04/01/198333319

102562 PALMETTO ARTIFICIAL KIDNEY

CENTER

941-729-9485 PALMETTO FL NO NO01/03/198334221


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

102563 BAYONET POINT - HUDSON

KIDNEY CENTER

727-863-3545 HUDSON FL YES NO12/23/198234667

102564 RENAL CARE CENTER -

SEBRING

863-385-5735 SEBRING FL YES NO06/01/198333870

102565 HOMESTEAD ARTIFICIAL

KIDNEY CENTER

305-245-5024 HOMESTEAD FL NO NO08/08/198333030

102566 BMA - METROPOLITAN MIAMI 786-388-8130 MIAMI FL NO NO09/21/198333134

102567 DELRAY BEACH ARTIFICIAL

KIDNEY CENTER

561-495-5085 DELRAY BEACH FL NO NO09/19/198333484


KISSIMMEE

407-847-7442 KISSIMMEE FL NO NO02/29/198434741

102571 RENAL CARE CENTER - BELLE

GLADE

561-996-6060 BELLE GLADE FL YES NO08/22/198433430


DELAND

386-738-8257 DELAND FL YES NO02/15/198532720

102574 RAI CARE CENTERS - FORT

PIERCE

772-465-5655 FORT PIERCE FL YES NO05/10/198534950

102576 WATSON CLINIC KIDNEY

CENTER

863-680-0756 LAKELAND FL YES NO08/27/198533805

102577 GAMBRO HEALTHCARE - CAPE

CORAL

239-772-2560 CAPE CORAL FL NO NO10/23/198533990

102578 LE JEUNE DIALYSIS CENTER

INC

305-448-8988 MIAMI FL NO NO05/07/198633126


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

102579 INVERNESS DIALYSIS CENTER 352-637-7050 INVERNESS FL YES NO12/04/198634452

102581 SEMINOLE DIALYSIS CENTER 727-393-3555 SEMINOLE FL YES NO02/05/198733772

102582 WEST BOCA DIALYSIS CENTER 561-488-8020 BOCA RATON FL NO NO05/06/198733434

102583 CENTER FOR KIDNEY DISEASE 305-691-1214 MIAMI FL NO NO05/07/198733150

102584 BRANDON ARTIFICIAL KIDNEY

CENTER

813-685-5522 BRANDON FL NO NO09/30/198733511


CENTER - VINELAND

407-425-5441 ORLANDO FL NO NO08/17/198732811


GREATER MIAMI

305-653-3603 MIAMI FL YES NO12/16/198733169

102587 FORT LAUDERDALE RENAL

ASSOCIATES

954-776-6379 FORT LAUDERDALE FL YES NO12/17/198733308


OKEECHOBEE

863-467-7765 OKEECHOBEE FL YES NO02/08/198834974

102590 NEW PORT RICHEY KIDNEY

CENTER

727-846-6840 NEW PORT RICHEY FL YES NO01/15/198834652

102591 NORTHEAST FLORIDA DIALYSIS

CENTER

904-272-2733 ORANGE PARK FL YES NO02/09/198832073

102592 APOPKA ARTIFICIAL KIDNEY

CENTER

407-880-0212 APOPKA FL NO NO02/15/198832712


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


ZEPHYRHILLS

813-788-8488 ZEPHYRHILLS FL NO NO03/04/198833542


WELLINGTON

561-969-9779 LAKE WORTH FL YES NO03/14/198833467

102595 WEST KENDALL DIALYSIS

CENTER

305-254-4484 MIAMI FL NO NO04/01/198833186

102596 SARASOTA PHYSICIANS

DIALYSIS CENTER

941-917-7644 SARASOTA FL YES NO04/06/198834239

102597 RENAL CARE CENTER - VERO

BEACH

772-778-8491 VERO BEACH FL YES NO04/26/198832960

102598 RAI CARE CENTERS - PALM

HARBOR

727-787-7660 PALM HARBOR FL NO NO05/13/198834684

102601 HALLANDALE ARTIFICIAL

KIDNEY CENTER

954-925-5990 HOLLYWOOD FL NO NO05/17/198833020

102602 HERNANDO KIDNEY CENTER 352-683-3363 SPRING HILL FL YES NO06/03/198834609

102603 RAI CARE CENTERS - PORT

SAINT LUCIE

772-398-8123 PORT SAINT LUCIE FL YES NO06/20/198834952

102604 RAI CARE CENTERS - ST

PETERSBURG



CENTRAL TAMPA

813-871-1320 TAMPA FL NO NO07/07/198833607

102608 BAYS DIALYSIS CENTER 727-896-6550 SAINT PETERSBURG FL YES NO07/12/198833701


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

102609 BMA - PORT SAINT LUCIE 772-335-5240 PORT SAINT LUCIE FL NO NO07/11/198834952


JACKSONVILLE

904-768-8857 JACKSONVILLE FL YES NO09/02/198832218

102612 BMA - JACKSONVILLE 904-396-6720 JACKSONVILLE FL YES NO11/09/198832207

102613 BMA - GAINESVILLE EAST 352-335-5175 GAINESVILLE FL NO NO01/04/198932601


DAYTONA BEACH S

386-257-7321 DAYTONA BEACH FL NO NO12/29/198832114

102615 ARTIFICIAL KIDNEY CENTER

BROWARD

954-942-2511 POMPANO BEACH FL YES NO12/27/198833060

102616 BMA - DELTONA 386-574-4022 DELTONA FL NO NO01/13/198932725

102617 GAMBRO HEALTHCARE - NORTH

DELRAY

561-279-9262 DELRAY BEACH FL NO NO03/21/198933445


LEHIGH ACRES

239-368-8616 LEHIGH ACRES FL NO NO03/10/198933971

102619 BMA - EAST ORLANDO 407-282-2150 ORLANDO FL NO NO04/14/198932817


ORLANDO

407-426-6921 ORLANDO FL YES NO07/25/1989102623 32806


TALLAHASSEE

850-878-8877 TALLAHASSEE FL NO NO10/01/198932308


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


BARTOW

863-533-3160 BARTOW FL NO NO09/18/198933830


QUINCY

850-875-5157 QUINCY FL NO NO04/27/199032351

102628 GULF COAST DIALYSIS INC. 941-625-5998 PORT CHARLOTTE FL YES NO03/22/199133952

102629 TAMARAC KIDNEY CENTER 954-721-1009 TAMARAC FL NO NO04/30/199033321

102630 VENTURE DIALYSIS CENTER 305-654-4740 MIAMI FL NO NO09/25/199033162

102632 ARTIFICIAL KIDNEY

CENTER-BROWARD W

954-720-0533 TAMARAC FL NO NO09/18/199033321

102634 NORTH PALM BEACH DIALYSIS

CENTER

561-775-5870 PALM BEACH

GARDENS

FL YES NO01/08/199133410

102635 MT DORA DIALYSIS 352-383-3702 MOUNT DORA FL YES NO12/19/199032757

102636 USF DIALYSIS CENTER 813-632-2791 TAMPA FL YES NO04/11/199133617

102637 GAMBRO HEALTHCARE - LAKE

WORTH



ORMOND BEACH

386-676-6240 ORMOND BEACH FL NO NO07/19/199132174

102639 GAMBRO HEALTHCARE - OCOEE 407-877-7062 OCOEE FL NO NO08/21/199134761


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

102642 GAMBRO HEALTHCARE - SUN

CITY CENTER

813-633-3284 SUN CITY CENTER FL NO NO11/04/199133573

102645 COMPLETE DIALYSIS CARE 954-345-5244 CORAL SPRINGS FL YES NO05/18/199233065


BRADENTON

941-746-6895 BRADENTON FL YES NO05/06/199234208

102647 PEMBROKE PINES ARTIFICIAL

KIDNEY CENTER

954-435-5255 PEMBROKE PINES FL NO NO06/19/199233028

102648 MIAMI LAKES ARTIFICIAL

KIDNEY CENTER

786-639-9049 MIAMI FL NO NO07/07/199233014

102649 DIALYSIS CLINIC INC OF

SOUTHPOINT


102650 NAPLES AKC - NORTH COLLIER

BRANCH

239-495-5888 BONITA SPRINGS FL NO NO10/13/199234134

102651 PALM BAY KIDNEY CENTER 321-722-2270 PALM BAY FL YES NO12/08/199232907

102652 FMC DIALYSIS SERVICES - LIVE

OAK

386-364-4660 LIVE OAK FL NO NO08/31/199232060

102653 JOHN CUNIO DIALYSIS CENTER 305-860-0811 MIAMI FL NO NO11/04/199233145

102654 DIALYSIS & KIDNEY CENTER

OF N BREVARD

321-269-9627 TITUSVILLE FL NO NO02/03/199332796

102655 ARA - TITUSVILLE DIALYSIS

AND KIDNEY CENTER

321-567-7012 TITUSVILLE FL NO NO02/24/199332796


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

102656 GAMBRO HEALTHCARE - MIAMI 305-324-4889 MIAMI FL YES NO11/05/199233136

102658 PINNACLE DIALYSIS INC 561-241-1666 BOCA RATON FL YES NO06/17/199333431

102659 RAI CARE CENTERS - WINTER

HAVEN

863-294-4788 WINTER HAVEN FL YES NO07/30/199333880


ORLANDO EAST

407-823-3953 ORLANDO FL NO NO09/01/199332807

102662 JACKSONVILLE KIDNEY CENTER 904-354-4333 JACKSONVILLE FL NO NO09/10/199332204

102664 FLAMINGO PARK KIDNEY

CENTER INC

305-884-4567 HIALEAH FL YES NO11/19/199333010

102665 ADVANCED DIALYSIS

INSTITUTE INC

305-827-7839 HIALEAH FL YES NO11/19/199333016

102666 RTC - MARIANNA 850-482-2532 MARIANNA FL NO NO04/25/199432446

102668 BMA - STARKE 904-964-4882 STARKE FL NO NO05/23/199432091

102670 AKC OF DEERFIELD BEACH 954-426-6335 DEERFIELD BEACH FL NO NO06/20/199433442


TALLAHASSEE W

850-574-4023 TALLAHASSEE FL YES NO10/27/199432304


CRESTVIEW

850-682-2472 CRESTVIEW FL NO NO11/02/199432539


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

102675 RTC - VENICE 941-486-6905 VENICE FL YES NO11/16/199434292

102676 BMA - PALATKA 386-328-8660 PALATKA FL NO NO12/16/199432177

102678 OCALA REGIONAL KIDNEY

CENTER EAST

352-351-1914 OCALA FL YES NO12/27/199434471

102679 GAMBRO HEALTHCARE - WEST

TAMPA

813-884-4400 TAMPA FL YES NO06/23/199533634

102680 HOLLYWOOD ARTIFICIAL

KIDNEY CENTER

954-894-4750 HOLLYWOOD FL YES NO07/10/199533021

102681 CARROLLWOOD ARTIFICIAL

KIDNEY CENTER

813-265-5973 TAMPA FL YES NO07/20/199533624


CENTER WEST

352-873-3937 OCALA FL NO NO07/06/199534481

102684 BMA - SAINT JOHNS 904-641-1080 JACKSONVILLE FL YES NO08/11/199532246

102686 MIAMI BEACH KIDNEY CENTER

INC

305-538-8094 MIAMI FL NO NO07/07/199533140

102687 AVENTURA DIALYSIS CENTER 305-692-2900 MIAMI FL NO NO09/20/199533180

102689 RAI CARE CENTERS - LAKE

WALES

863-676-6951 LAKE WALES FL NO NO09/20/199333853

102690 RAI CARE CENTERS - LARGO 727-531-1822 LARGO FL YES NO10/06/199533773


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

102691 GAMBRO HEALTHCARE - DADE

CITY

352-567-7641 DADE CITY FL YES NO11/13/199533525

102692 SAINT AUGUSTINE ARTIFICIAL

KIDNEY CENTER

904-808-8044 SAINT AUGUSTINE FL YES NO01/10/199632086

102693 GULF BREEZE DIALYSIS

CENTER

727-738-8442 DUNEDIN FL YES NO02/09/199634698

102694 BMA - AVON PARK 863-385-5185 SEBRING FL NO NO02/09/199633872

102695 GULF COAST KIDNEY CENTER -

HUDSON

727-862-2060 HUDSON FL NO NO02/29/199634667


SMYRNA BCH

386-409-9002 NEW SMYRNA

BEACH

FL NO NO03/06/199632168

102697 BMA - WEST ORLANDO 407-297-7377 ORLANDO FL NO NO06/14/199632808

102699 LAKE DIALYSIS 352-326-6810 LEESBURG FL NO NO06/28/199634748

102700 BMA - NORTH ORLANDO 407-831-1707 ALTAMONTE

SPRINGS

FL NO NO07/01/199632701

102701 FT LAUDERDALE ARTIFICIAL

KIDNEY CENTER


102702 NEW SMYRNA BEACH AKC 386-409-9885 NEW SMYRNA

BEACH

FL YES NO09/04/199632168


CENTURY

850-256-6472 CENTURY FL NO NO07/02/199732535


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


CENTER - OSCEOLA

407-870-0188 KISSIMMEE FL YES NO09/06/199634744

102705 RCG - FT WALTON BEACH 850-864-4441 FORT WALTON

BEACH

FL YES NO09/16/199632547

102706 RAI CARE CENTERS - PUNTA

GORDA

941-505-5077 PUNTA GORDA FL YES NO09/04/199633950


ORLANDO NORTH

407-539-9399 ORLANDO FL NO NO09/20/199632804

102708 PINE ISLAND KIDNEY CENTER 954-916-6895 PLANTATION FL NO NO10/02/199633322

102709 BMA - BOYNTON BEACH 561-737-7897 BOYNTON BEACH FL YES NO07/02/199733436

102710 ATLANTIC KIDNEY CENTERS

LLC



GREATER DAYTONA HOME

TRAINING

386-258-8771 DAYTONA BEACH FL YES NO11/21/199632114


WALES

863-679-9985 LAKE WALES FL NO NO12/02/199633853

102714 BMA - PLANTATION 954-382-2015 PLANTATION FL NO NO12/27/199633324

102715 BOCA/DELRAY RENAL

ASSOCIATES INC

561-988-8710 BOCA RATON FL YES NO01/13/199733496

102716 BMA - YBOR CITY 813-247-7572 TAMPA FL NO NO02/07/199733605


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

102717 BMA - SOUTH FT MYERS 239-482-2670 FORT MYERS FL NO NO01/31/199733908

102718 GAMBRO HEALTHCARE - SOUTH

BEACH

305-534-4224 MIAMI FL YES NO01/01/199733140


MILTON

850-626-6944 MILTON FL NO NO04/07/199732570

102720 CRYSTAL RIVER DIALYSIS

CENTER

352-564-4840 CRYSTAL RIVER FL YES NO03/18/199734429

102721 BMA - CUTLER RIDGE 305-252-2757 MIAMI FL NO NO05/16/199733157

102722 SUWANNEE RIVER KIDNEY

CENTER

352-463-3200 TRENTON FL NO NO06/09/199732693

102723 COMPLETE DIALYSIS CARE

SOUTH

954-832-2010 FORT LAUDERDALE FL YES NO07/02/1997102723 33315

102724 SUNCOAST DIALYSIS CENTER 813-972-2372 TAMPA FL NO NO06/24/199733613

102726 SANTA ROSA DIALYSIS 850-623-3829 MILTON FL NO NO08/12/199732583


SEBASTIAN

772-589-9918 SEBASTIAN FL YES NO09/24/199732958

102728 GAMBRO HEALTHCARE - PALM

COAST

386-445-5444 PALM COAST FL NO NO11/29/199732137


CENTER SOUTH

352-751-1124 LADY LAKE FL NO NO03/19/199832159


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

102732 NORTH MELBOURNE DIALYSIS

INC

321-253-3903 MELBOURNE FL NO NO05/08/199832940

102733 BMA - LAKEWOOD 941-359-9067 SARASOTA FL NO NO04/06/199834201

102736 BMA - SOUTH COLLIER 239-732-2533 NAPLES FL NO NO03/30/199834113


MADISON COUNTY

850-973-3385 MADISON FL NO NO10/05/199832340

102738 MIAMI ARTIFICIAL KIDNEY

CENTER LC

305-273-3383 MIAMI FL YES NO11/10/199833176

102739 UNIVERSAL KIDNEY CENTER

INC

954-958-8930 FORT LAUDERDALE FL NO NO10/14/199833308

102740 ORLANDO DIALYSIS 407-858-8945 ORLANDO FL YES NO10/28/199832837


CLEWISTON

863-983-3885 CLEWISTON FL NO NO10/21/199833440

102742 BAY BREEZE DIALYSIS CLINIC

INC

727-581-1989 LARGO FL YES NO12/11/199833778

102743 AMELIA ISLAND DIALYSIS 904-491-1199 FERNANDINA

BEACH

FL YES NO01/25/199932034

102744 GAMBRO HEALTHCARE - FT

MYERS SOUTH

239-482-2008 FORT MYERS FL NO NO11/25/199833908

102745 RCG - SACRED HEART - ADULT

DIALYSIS

850-484-4864 PENSACOLA FL NO NO01/26/199932504


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

102746 BMA - WEST DADE 305-207-7238 MIAMI FL NO NO02/04/199933175


WEST PALM BEACH



TEMPLE TERRACE

813-989-9206 TEMPLE TERRACE FL YES NO04/08/199933617

102749 RCG - SACRED HEART - PED

DIALYSIS



ORLANDO SW

407-852-2175 ORLANDO FL NO NO04/22/199932809

102751 CELEBRATION DIALYSIS 407-566-6178 CELEBRATION FL YES NO05/07/199934747


BONITA SPRINGS

239-949-9044 BONITA SPRINGS FL NO NO06/07/199934135

102754 FORT PIERCE ARTIFICIAL

KIDNEY CENTER

772-460-0619 FORT PIERCE FL YES NO10/11/199934950

102756 ORANGE PARK KIDNEY CENTER 904-276-6331 ORANGE PARK FL YES NO09/09/199832073

102757 ARCADIA DIALYSIS CENTER 863-491-1855 ARCADIA FL YES NO07/07/199933821

102758 AMERICAN DIALYSIS CENTER 727-522-2255 SAINT PETERSBURG FL NO NO07/13/199933709

102759 NORTH OKALOOSA DIALYSIS

CENTER

850-683-3570 CRESTVIEW FL NO NO07/21/199932536


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


NAPLES

239-659-9520 NAPLES FL YES NO07/21/199934102

102761 RENAL CARE GROUP - TAMPA 813-353-3810 TAMPA FL YES NO09/01/199933603

102762 RAI CARE CENTERS - HAINES

CITY

863-422-2080 HAINES CITY FL NO NO11/01/199933844


ALACHUA

386-418-8223 ALACHUA FL NO NO11/09/199932615


LAKELAND SOUTH

863-648-8171 LAKELAND FL YES NO12/10/199933813


TALLAHASSEE SOUTH

850-224-4875 TALLAHASSEE FL NO NO12/06/199932301

102766 MIAMI REGIONAL DIALYSIS

CENTER INC

305-650-0882 NORTH MIAMI

BEACH

FL YES NO02/08/200033169

102767 FMC DIALYSIS SERVICES - FT

LAUDERDALE

954-321-1777 PLANTATION FL NO NO02/09/200033312


CENTER - LONGWOOD

407-332-2444 LONGWOOD FL NO NO04/03/200032750

102769 RENAL CARE GROUP - NORTH

TAMPA

813-979-9908 TAMPA FL YES NO06/09/200033613

102770 RCG - BAPTIST NORTH 850-202-2820 PENSACOLA FL NO NO06/12/200032514

102771 CHIPLEY DIALYSIS 850-638-8778 CHIPLEY FL NO NO07/07/200032428


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


ORLANDO HOME TRAINING

407-826-6010 ORLANDO FL YES NO08/30/200032806

102773 GAMBRO HEALTHCARE - ST

PETERSBURG


102774 ARA - BOCA RATON DIALYSIS

LLC



ORANGE CITY

386-775-5011 ORANGE CITY FL NO NO11/30/200032763

102776 GAMBRO HEALTHCARE - MIAMI

NORTH

305-893-3788 NORTH MIAMI FL NO NO10/23/200033161

102777 RENAL CARE GROUP - WEST

PALM



WINTER PARK

407-673-3519 WINTER PARK FL NO NO03/02/200132792


BRANDON EAST

813-657-7278 BRANDON FL YES NO04/04/200133511

102781 ARA - SOUTH BOCA RATON

DIALYSIS LLC


102782 UNIVERSAL KIDNEY CENTER OF

BOYNTON BEACH

561-740-0198 BOYNTON BEACH FL NO NO05/15/200133436

102783 NNA KIDNEY DIALYSIS CENTER

- SARASOTA

941-373-3927 SARASOTA FL YES NO04/20/200134239

102784 GAMBRO HEALTHCARE - MIAMI

EAST

305-547-7149 MIAMI FL NO NO06/13/200133125


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

102785 RENAL CARE PARTNERS OF

HIALEAH LLC

305-884-4801 HIALEAH FL YES NO11/14/200133010


CENTER - WINTER GARDEN

407-654-4912 WINTER GARDEN FL YES NO11/21/200134787


CLERMONT

352-243-3120 CLERMONT FL YES NO01/03/200234711

102788 GAMBRO HEALTHCARE - FT

MYERS NORTH

239-656-6440 FORT MYERS FL NO NO12/28/200133903

102789 THE KIDNEY TREATMENT

CENTER

305-388-8522 MIAMI FL YES NO01/02/200233186

102790 GAMBRO HEALTHCARE - PERRY 850-584-4601 PERRY FL NO NO02/22/200232347

102791 THE VENICE KIDNEY CENTER 941-493-3596 VENICE FL YES NO03/13/200234293

102792 BOYNTON BEACH DIALYSIS

CENTER

561-740-0402 BOYNTON BEACH FL YES NO06/26/200233436


CENTER NORTH

352-591-1468 CITRA FL YES NO07/29/200232113

102794 ARA - WEST JACKSONVILLE LLC 904-598-8271 JACKSONVILLE FL YES NO10/30/200232204


NORTH BOYNTON BEACH

561-734-4558 BOYNTON BEACH FL NO NO12/16/200233436


HAWTHORNE

352-481-1266 HAWTHORNE FL NO NO04/14/200332640


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

102798 HARBOR CITY DIALYSIS 321-308-8500 MELBOURNE FL NO NO10/03/200332935

102799 FORT WALTON BEACH

DIALYSIS

850-862-2698 FORT WALTON

BEACH

FL NO NO09/05/200332547

102800 LIFELINE HEALTHCARE

SERVICES INC

954-689-9837 DAVIE FL YES NO11/19/199333314

102801 UNIVERSAL KIDNEY CENTER OF

DAVIE

954-727-7910 DAVIE FL YES NO12/16/200333325

102802 FMC - ROYAL PALM BEACH 561-616-6333 WEST PALM BEACH FL NO NO03/31/200433411


PETERSBURG SOUTH

727-864-4405 SAINT PETERSBURG FL NO NO04/09/200433711

102804 RENAL CARE GROUP - DESTIN 850-622-2971 DESTIN FL NO NO03/25/200432550

102805 EAST FT LAUDERDALE

DIALYSIS CENTER LLC



BREVARD

321-952-2118 MELBOURNE FL YES NO04/23/200432901

102807 WESTON DIALYSIS CENTER 954-389-9129 WESTON FL YES NO07/21/200433331

102808 UNIVERSITY ARTIFICIAL

KIDNEY CENTER LLC

954-577-7277 DAVIE FL NO NO08/17/200433328

102809 RENAL CARE GROUP - NAPLES 239-775-5945 NAPLES FL YES NO08/10/200434112


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

102810 ATLANTIS DIALYSIS CENTER 561-967-7063 ATLANTIS FL NO NO09/25/200433462

102811 CYPRESS CREEK DIALYSIS

CENTER

813-642-2920 SUN CITY FL YES NO09/24/200433573

102812 RENAL CARE GROUP - WEST

PENSACOLA


102813 COASTAL KIDNEY CENTERS LLC 850-914-4082 PANAMA CITY FL YES NO12/13/200432401


NAVARRE

850-515-5081 NAVARRE FL NO NO03/16/200532566

102815 ADVANCED RENAL CARE 813-874-4270 TAMPA FL YES NO03/16/200533609


MELBOURNE

321-956-6625 MELBOURNE FL YES NO03/23/200532901

102817 EMBASSY LAKES ARTIFICIAL

KIDNEY CENTER

954-430-0916 COOPER CITY FL YES NO03/21/200533026

102818 HIGHLANDS DIALYSIS CENTER 863-382-2944 SEBRING FL YES NO04/01/200533872

102819 DAVENPORT DIALYSIS CENTER 863-419-9740 DAVENPORT FL NO NO04/04/200533897

102820 FIRST COAST DIALYSIS

CENTER


102821 KIDNEY INSTITUTE OF NAPLES 239-513-3100 NAPLES FL YES NO07/19/200534108


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

102822 PHYSICIANS RENAL CARE OF

LEESBURG

561-969-9779 LEESBURG FL YES NO07/19/200534748

102823 HOME DIALYSIS OF DSCF 407-515-5220 ORLANDO FL YES NO08/29/200532804


BRANDON

813-661-1747 BRANDON FL YES NO10/05/200533511


CENTERS HOME DIALYSIS

352-622-2875 OCALA FL YES NO07/12/200534471

102826 DIALYSIS CARE CENTER OF

DAYTONA

978-774-4530 DAYTONA BEACH FL YES NO11/04/200532114

102827 SANFORD DSCF 407-268-8942 SANFORD FL YES NO11/30/200532771

102828 RENAL CARE PARTNERS OF

DAVIE

954-341-1347 DAVIE FL YES NO11/28/200533314

103300 ALL CHILDRENS HOSPITAL

DIALYSIS

727-767-7416 SAINT PETERSBURG FL YES YES09/27/1982102328 33701

103301 MIAMI CHILDRENS HOSP

DIALYSIS UNIT

305-669-9647 MIAMI FL YES NO03/09/1992102336 33155

103502 SAINT LUKES OUTPATIENT

DIALYSIS


FL0ORP ORION MEDICAL - STATE

CONTRACT

386-496-6601 MIAMI FL YES NO02/23/198333179

110010 EMORY UNIVERSITY HOSPITAL

TRANSPLANT CENTER

404-727-7071 ATLANTA GA NO YES05/01/198430322


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

110016 WEST GEORGIA HEALTH

SYSTEMS INC

706-845-5372 LAGRANGE GA YES NO09/10/1979112311 30240

110034 MEDICAL COLLEGE OF

GEORGIA- TRANSPLANT

706-721-1287 AUGUSTA GA NO YES07/06/198130912

110038 SOUTHWEST GEORGIA

DIALYSIS

229-228-8278 THOMASVILLE GA YES NO07/14/1980112312 31792

110064 COLUMBUS REGIONAL

DIALYSIS CENTER

706-571-1122 COLUMBUS GA YES NO09/01/197631902

110079 ATLANTA REGIONAL

NEPHROLOGY CENTER

404-616-6471 ATLANTA GA NO NO09/01/1976112307 30303

110083 PIEDMONT HOSPITAL

TRANSPLANT

404-605-5373 ATLANTA GA NO YES06/15/198630309

110095 TIFT REGIONAL MEDICAL

CENTER DIALYSIS CENTER

229-556-6635 TIFTON GA YES NO09/01/198531794

110104 CRISP REGIONAL HOSPITAL

DIALYSIS UNIT

229-273-3233 CORDELE GA NO NO08/30/1988112317 31015

110105 COLQUITT REGIONAL MEDICAL

CENTER DIALYSIS

229-891-1933 MOULTRIE GA NO NO03/06/198631768

11029F V. A. MEDICAL CENTER -

DECATUR

404-321-1611 DECATUR GA NO NO01/01/198830033

112501 FMC OF AUGUSTA INC 706-860-0922 AUGUSTA GA YES NO09/01/197630909

112502 GAMBRO HEALTHCARE FULTON 404-256-6311 ATLANTA GA NO NO09/01/197630342


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

112503 DCI PIEDMONT 404-230-0296 ATLANTA GA NO NO09/01/197630303

112504 BMA OF ATLANTA INC 770-996-6588 COLLEGE PARK GA YES NO09/01/197630349

112505 GAMBRO HEALTHCARE ROME 706-291-1265 ROME GA YES NO09/01/197630165

112507 COASTAL DIALYSIS CENTER 912-232-2269 SAVANNAH GA YES NO09/01/197631404

112509 DCI ALBANY 229-888-8399 ALBANY GA YES NO09/01/197631701

112510 BMA OF MARIETTA INC 770-424-4839 MARIETTA GA YES NO09/01/197630066

112511 FMC OF DEKALB GWINNETT

INC

404-294-4707 DECATUR GA YES NO09/01/197730030

112512 DCI CRAWFORD 404-888-8453 ATLANTA GA NO NO06/20/197730308

112513 GAMBRO HEALTHCARE ATHENS

WEST

706-546-6005 ATHENS GA YES NO07/18/197730606


BRUNSWICK

912-264-4865 BRUNSWICK GA YES NO07/14/197731525


VALDOSTA

229-247-7485 VALDOSTA GA YES NO09/26/197731602

112516 BMA OF MACON INC 478-743-3950 MACON GA YES NO11/02/197831217


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

112517 DAVITA- JONESBORO DIALYSIS

CENTER

770-471-1238 JONESBORO GA YES NO04/09/197930236

112518 DIALYSIS FACILITIES INC

WAYCROSS

912-285-5248 WAYCROSS GA NO NO09/05/197931501

112519 FMC OF EASTMAN INC 478-374-4477 EASTMAN GA NO NO10/19/198031023

112520 BMA OF CARROLLTON INC 770-832-2132 CARROLLTON GA YES NO01/01/198130117

112521 BMA OF WILLETTE WALLACE

INC

706-481-1692 AUGUSTA GA YES NO02/18/198130904

112522 DCI WEST PEACHTREE 404-888-8452 ATLANTA GA NO NO07/06/198130308

112523 SOUTHWEST ATLANTA

DIALYSIS CENTER

404-696-6730 ATLANTA GA NO NO06/24/198130331

112524 FMC DALTON INC 706-278-8107 DALTON GA YES NO01/01/198230720


DOUGLASVILLE

770-949-9840 DOUGLASVILLE GA YES NO10/04/198230135

112527 WASHINGTON DIALYSIS

FACILITY

706-678-8585 WASHINGTON GA NO NO10/26/198330673


AMERICUS

229-928-8225 AMERICUS GA NO NO02/11/198331709

112529 DAVITA INC GRIFFIN DIALYSIS

CENTER

770-227-7171 GRIFFIN GA NO NO03/17/198330224


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

112530 DCI COLUMBUS 706-323-3241 COLUMBUS GA YES NO08/15/198331901

112531 BMA OF WARNER ROBINS, INC. 478-953-3655 WARNER ROBINS GA YES NO07/18/198331088

112532 GAMBRO HEALTHCARE JESUP 912-427-7894 JESUP GA NO NO05/08/198431545

112533 BMA OF COVINGTON INC 770-788-8746 COVINGTON GA NO NO05/15/198430014

112534 FMC OF SANDERSVILLE INC 478-552-2681 SANDERSVILLE GA NO NO07/12/198431082


DOUGLAS

912-384-4343 DOUGLAS GA YES NO02/13/198531533

112540 FMC THOMSON DIALYSIS 706-595-5928 THOMSON GA NO NO08/11/198630824

112541 RENAL CARE GROUP OF

TOCCOA

706-886-6747 TOCCOA GA YES NO08/18/198630577

112544 MEDICAL KIDNEY SERVICES OF

CENTRAL GEORGIA, LTD

478-453-3203 MILLEDGEVILLE GA YES NO02/02/198731061

112545 ELBERTON DIALYSIS FACILITY

INC

706-283-3983 ELBERTON GA YES NO05/14/198730635


LAURENS COUNTY

478-272-2519 DUBLIN GA YES NO07/13/198731021

112549 NEWNAN DIALYSIS SERVICES 770-251-1789 NEWNAN GA YES NO03/07/198830263


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

112551 FMC NORTHERN GEORGIA INC 770-479-9025 CANTON GA YES NO06/02/198830114

112553 GAMBRO HEALTHCARE (SOUTH

DEKALB)

404-289-9231 DECATUR GA YES NO09/06/198830032

112554 DCI ARLINGTON 229-725-5488 ARLINGTON GA NO NO10/03/198839813


HINESVILLE

912-368-8485 HINESVILLE GA NO NO09/29/198831313


THOMASTON

706-648-8636 THOMASTON GA YES NO07/06/198930286

112558 GAMBRO HEALTHCARE ST

MARYS

912-882-2750 SAINT MARYS GA NO NO05/19/198931558

112559 DAVITA FORT VALLEY 478-825-5720 FORT VALLEY GA NO NO07/10/198931030


ATLANTA

404-577-7909 ATLANTA GA NO NO07/26/198930312

112562 GAMBRO HEALTHCARE FORD

FACTORY SQUARE

404-872-2721 ATLANTA GA NO NO08/14/198930308

112563 FMC TUCKER 770-491-1717 TUCKER GA YES NO11/01/198930084

112565 GAMBRO HEALTHCARE EAST

ROME

706-232-2989 ROME GA NO NO02/14/199030161

112566 MIDTOWN DIALYSIS 404-817-7970 ATLANTA GA YES NO03/12/199030308


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


PIEDMONT

404-355-5605 ATLANTA GA YES NO11/05/198930309


ATLANTA SOUTH FULTON

404-761-1263 ATLANTA GA NO NO08/22/199030315

112569 GWINNETT DIALYSIS CENTER 770-962-2123 LAWRENCEVILLE GA YES NO10/01/199030045

112571 DAVITA INC MILLEDGEVILLE 478-453-3948 MILLEDGEVILLE GA NO NO10/18/199031061

112573 COLUMBUS DIALYSIS 706-596-6822 COLUMBUS GA NO NO12/10/199031904

112574 DCI FORT OGLETHORPE 706-861-1666 FORT OGLETHORPE GA NO NO03/05/199130742

112576 DCI DAWSON 229-995-5243 DAWSON GA NO NO07/24/199139842

112578 DAVITA PIEDMONT DIALYSIS

CENTER OF GEORGIA

404-351-1826 ATLANTA GA YES NO05/11/199230318

112579 GAMBRO HEALTHCARE WYLDS

ROAD

706-733-3052 AUGUSTA GA YES NO10/06/199230909

112581 COBB NEPHROLOGY DIALYSIS

CENTER INC

770-732-2861 AUSTELL GA YES NO05/10/199130106

112582 CENTRAL ATLANTA DIALYSIS

CENTER

404-873-3630 ATLANTA GA YES NO04/01/199330309

112583 DAVITA DIALYSIS OF MIDDLE

GEORGIA INC.

478-742-2421 MACON GA NO NO05/17/199331201


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


STATESBORO

912-681-1402 STATESBORO GA NO NO07/19/199330458

112586 WALTON DIALYSIS CENTER 770-207-7085 MONROE GA NO NO07/01/199330655

112587 DCI EAST ALBANY 229-434-4117 ALBANY GA NO NO08/18/199331705


WAYNESBORO

706-554-4466 WAYNESBORO GA YES NO10/18/199330830

112589 NEPHROLOGY CENTERS OF

AMERICA WAYNESBORO

706-554-4005 WAYNESBORO GA NO NO11/01/199330830

112590 FMC PERIMETER 404-250-0005 ATLANTA GA YES NO12/15/199330328

112591 FMCNA CARTERSVILLE 770-386-6816 CARTERSVILLE GA NO NO12/22/199330121


VIDALIA

912-537-7979 VIDALIA GA NO NO01/19/199430474

112594 PAULDING NEPHROLOGY

CENTER INC

770-445-5357 DALLAS GA YES NO05/01/199430132


DECATUR

404-325-5888 DECATUR GA NO NO04/18/199430033

112598 DAVITA BUENA VISTA 229-649-9229 BUENA VISTA GA NO NO06/22/199431803

112599 FMCNA OF CONYERS INC 770-922-2020 CONYERS GA NO NO12/19/199430012


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

112600 DCI NORTH COLUMBUS 706-322-2195 COLUMBUS GA NO NO01/02/199531904

112601 RENEX DIALYSIS CLINICS OF

SOUTH GEORGIA

229-228-8660 THOMASVILLE GA YES NO01/01/199531792

112602 EAST MACON DIALYSIS CENTER 478-755-5114 MACON GA YES NO11/15/200031217

112603 MOULTRIE DIALYSIS CENTER 229-890-0122 MOULTRIE GA YES NO02/09/199531768

112608 GAMBRO HEALTHCARE SOUTH

BRUNSWICK

912-265-5050 BRUNSWICK GA NO NO05/10/199531520


AMERICA GROVETOWN

706-860-0083 GROVETOWN GA YES NO04/17/199530813

112610 DCI LAFAYETTE 706-638-8655 LA FAYETTE GA NO NO06/02/199530728

112611 GAMBRO HEALTHCARE EAST

ATLANTA

404-627-7551 ATLANTA GA NO NO08/02/199530316

112614 ATLANTA EASTSIDE DIALYSIS

CENTER

770-736-6314 SNELLVILLE GA NO NO08/09/199530078

112615 DCI DEKALB 404-371-1049 DECATUR GA NO NO08/21/199530030


FULTON

770-569-9288 ROSWELL GA YES NO10/17/199530075

112619 DIALYSIS AMERICA INC

ALPHARETTA DIALYSIS CENTER

770-751-1975 ROSWELL GA NO NO03/18/199630076


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

112620 DIALYSIS CENTER OF MIDDLE

GEORGIA

478-328-8180 WARNER ROBINS GA NO NO03/22/199631093

112622 LAWRENCEVILLE DIALYSIS

FACILITY

770-237-7001 LAWRENCEVILLE GA YES NO03/11/199630045

112623 FMC OF CALHOUN INC 706-602-2878 CALHOUN GA NO NO06/24/199630701


CANDLER COUNTY

912-685-5660 METTER GA YES NO09/01/197630439

112626 RENAL CARE GROUP OF

CAMILLA

229-336-6122 CAMILLA GA YES NO09/11/199631730

112627 FMC OF SNELLVILLE INC 770-985-5665 SNELLVILLE GA NO NO09/06/199630078


SOUTH GEORGIA

229-243-3004 BAINBRIDGE GA NO NO01/07/199739819


SOUTH GEORGIA

229-263-3408 QUITMAN GA NO NO01/06/199731643

112630 DCI SYLVESTER 229-776-6025 SYLVESTER GA NO NO10/23/199631791


SAVANNAH SOUTHSIDE

912-961-1600 SAVANNAH GA NO NO01/17/199731419

112632 BARROW COUNTY DIALYSIS

CENTER

770-868-8851 WINDER GA NO NO03/12/199730680

112633 DECATUR DIALYSIS CENTER 404-286-6170 DECATUR GA NO NO04/02/199730032


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

112634 RCG OF GAINESVILLE 770-534-4699 GAINESVILLE GA YES NO04/21/199730501


SAVANNAH EASTSIDE

912-354-4500 SAVANNAH GA YES NO05/27/199731404

112637 DCI FAYETTEVILLE 770-716-6694 FAYETTEVILLE GA YES NO07/07/199730214

112638 GAMBRO HEALTCHCARE

BAXLEY

912-366-6020 BAXLEY GA NO NO05/07/199731513


SAVANNAH MONTGOMERY

912-352-2135 SAVANNAH GA YES NO05/15/199531405

112640 GREENSBORO DIALYSIS

FACILITY LLC

706-453-3722 GREENSBORO GA YES NO10/07/199730642

112641 RCG CLARKE COUNTY DIALYSIS 706-549-9688 ATHENS GA YES NO11/19/199730606


ATLANTA WEST

404-699-9130 ATLANTA GA NO NO11/10/199730311

112645 CLAYTON COUNTY DIALYSIS

LLC

770-907-7900 JONESBORO GA YES NO02/12/199830236

112646 LITHONIA DIALYSIS CENTER 770-981-1055 DECATUR GA YES NO03/04/199830035

112647 BMA OF MILLEN INC 478-982-2953 MILLEN GA NO NO01/01/199830442

112648 RAI CARE CENTERS SAVANNAH 912-233-3606 SAVANNAH GA YES NO03/09/199831401


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


AMERICA LOUISVILLE

478-625-5331 LOUISVILLE GA NO NO08/07/199830434

112650 PUTNAM DIALYSIS CENTER 706-484-4012 EATONTON GA YES NO09/02/199831024

112651 MCDONOUGH DIALYSIS

FACILITY

770-898-8499 MCDONOUGH GA NO NO09/14/199830253

112652 DIALYSIS SERVICES EAST

GEORGIA

478-625-5956 LOUISVILLE GA NO NO10/07/199830434

112653 NORCROSS DIALYSIS CENTER 678-937-7005 NORCROSS GA YES NO10/30/199830093

112654 DIALYSIS TREATMENT

CENTERS OF MACON

478-741-1981 MACON GA NO NO11/13/199831201

112655 EAST POINT DIALYSIS 404-765-5178 EAST POINT GA NO NO12/21/199830344

112656 SOUTH FULTON DIALYSIS 404-346-6300 ATLANTA GA NO NO12/30/199830331


FAYETTEVILLE

678-817-7997 FAYETTEVILLE GA YES NO01/27/199930214

112658 FMC DIALYSIS CENTER

SNAPFINGER

770-808-8622 DECATUR GA NO NO02/03/199930035

112659 HENRY COUNTY DIALYSIS 770-474-4523 STOCKBRIDGE GA YES NO02/11/199930281

112660 ATLANTA DIALYSIS CENTER

LLC

404-872-2531 ATLANTA GA NO NO03/03/199930312


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


EFFINGHAM NORTH

912-754-4609 SPRINGFIELD GA NO NO04/21/199931329

112662 NORTH GEORGIA DIALYSIS

HOME

678-393-3814 ROSWELL GA YES NO05/17/199930076

112663 NORTHEAST GEORGIA

DIALYSIS

770-297-7840 GAINESVILLE GA YES NO09/15/199930501

112664 FMCNA SWAINSBORO 478-237-7818 SWAINSBORO GA NO NO09/08/199930401


FORSYTH

478-994-4648 FORSYTH GA NO NO10/14/199931029


SOUTH COBB

770-432-2006 MARIETTA GA NO NO10/19/199930008


SOUTH AUGUSTA

706-798-8577 AUGUSTA GA NO NO10/15/199930906


CEDARTOWN

770-748-8139 CEDARTOWN GA NO NO10/26/199930125


SOUTH AUGUSTA

706-790-0830 AUGUSTA GA YES NO10/27/199930906

112672 HOLTON DIALYSIS CLINIC 404-892-2855 ATLANTA GA YES NO11/02/199930318

112674 ATHENS KIDNEY CENTER 706-227-7211 ATHENS GA NO NO02/04/200030601

112675 COBB COUNTY DIALYSIS

CENTER

770-426-6511 MARIETTA GA YES NO02/04/200030060


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

112676 FMC MUSCOGEE COUNTY 706-323-3616 COLUMBUS GA YES NO01/12/200031904

112677 DCI ATLANTA HOME DIALYSIS 404-230-0287 ATLANTA GA YES NO02/29/200030303


ATLANTA SOUTH

404-761-1559 EAST POINT GA NO NO03/23/200030344

112679 FMC CLAXTON DIALYSIS

CENTER

912-739-9944 CLAXTON GA YES NO04/05/200030417

112680 UNION COUNTY DIALYSIS 706-835-5192 BLAIRSVILLE GA YES NO04/24/200030512


CUMMING

678-513-3648 CUMMING GA NO NO06/15/200030041

112682 RIVERDALE HYPERTENSION

KIDNEY & DIALYSIS CENTER

770-997-7664 RIVERDALE GA NO NO06/26/200030274

112683 PERRY DIALYSIS CENTER 478-987-7712 PERRY GA NO NO08/04/200031069

112685 FMC MURRAY DIALYSIS 706-517-7481 CHATSWORTH GA NO NO09/13/200030705


HOMERVILLE

912-487-7009 HOMERVILLE GA YES NO10/27/200031634

112688 DCA OF SOUTH GEORGIA 229-249-9322 VALDOSTA GA YES NO11/21/200031602

112689 DAVITA NEWNAN DIALYSIS 770-252-2272 NEWNAN GA YES NO11/29/200030265


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

112691 CARTERSVILLE DIALYSIS

CENTER LLC

678-721-1909 CARTERSVILLE GA YES NO03/28/200130120

112692 FOREST PARK DIALYSIS

CENTER

404-361-1064 FOREST PARK GA NO NO05/11/200130297

112693 GAINESVILLE DIALYSIS 770-536-6719 GAINESVILLE GA YES NO05/09/200130501

112694 DOUGLAS COUNTY DIALYSIS

LLC

678-838-8323 DOUGLASVILLE GA YES NO05/23/200130135

112695 COMPREHENSIVE RENAL CARE

OF NORTHLAKE LLC

678-406-6082 TUCKER GA YES NO07/12/200130084

112696 SPALDING COUNTY DIALYSIS 770-467-7811 GRIFFIN GA YES NO10/03/200130224

112697 FMC SOUTH MACON DIALYSIS 478-743-3124 MACON GA NO NO10/04/200131206

112698 DCA OF FITZGERALD 229-409-9222 FITZGERALD GA YES NO10/04/200131750

112699 DCA OF CENTRAL VALDOSTA 229-219-9009 VALDOSTA GA YES NO10/04/200131602

112700 DAVITA WOODSTOCK DIALYSIS 678-494-4117 WOODSTOCK GA NO NO10/04/200130188

112702 TRINITY DIALYSIS CLINIC 404-763-3040 EAST POINT GA NO NO09/26/200130344


ATLANTA MIDTOWN

404-874-4412 ATLANTA GA YES NO11/07/200130308


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

112704 DCI ALBANY WEST TOWN 229-435-5929 ALBANY GA NO NO11/15/200131707

112705 STONE MOUNTAIN DIALYSIS 678-836-6025 STONE MOUNTAIN GA YES NO12/07/200130083

112706 DOUGLAS NEPHROLOGY

CENTER

678-945-5360 LITHIA SPRINGS GA YES NO12/21/200130122

112707 HAWKINSVILLE DIALYSIS

CENTER

478-892-2800 HAWKINSVILLE GA NO NO12/19/200131036

112708 COVINGTON DIALYSIS CENTER 770-385-5401 COVINGTON GA YES NO12/21/200130014

112709 DAVITA ELLIJAY DIALYSIS 706-276-6141 ELLIJAY GA NO NO11/21/200130540

112710 EAST GEORGIA REGIONAL

DIALYSIS CENTER

912-871-1610 STATESBORO GA YES NO01/28/200230458

112711 IRIS CITY DIALYSIS 770-228-8317 GRIFFIN GA NO NO02/04/200230223


NEWTON

770-786-6100 COVINGTON GA YES NO04/10/200230016

112713 DEMOREST DIALYSIS 706-754-4661 DEMOREST GA NO NO05/01/200230535

112714 ARA SOUTH AUGUSTA CLINIC 706-796-6123 AUGUSTA GA NO NO05/08/200230906

112715 GEORGIA NEPHROLOGY LLC

DBA SOUTH DEKALB DIALYSIS

CENTER

404-241-1040 DECATUR GA NO NO02/06/200230034


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

112716 FMC WEST CHATHAM DIALYSIS

CENTER

912-965-5030 GARDEN CITY GA NO NO05/22/200231408


WALTON

770-266-6739 MONROE GA YES NO07/03/200230655

112719 DCA OF ROYSTON 706-245-5081 ROYSTON GA YES NO04/15/200230662

112720 FMC NEW BAILIE 706-774-4120 AUGUSTA GA YES NO03/01/200230912


WOODSTOCK

770-592-2343 WOODSTOCK GA YES NO07/03/200230188

112722 ARA AUGUSTA LLC 706-774-4013 AUGUSTA GA YES NO07/01/200230901

112723 ARA VIDALIA CLINIC LLC 912-538-8890 VIDALIA GA NO NO07/12/200230474


MONTEZUMA

478-472-2709 MONTEZUMA GA NO NO07/19/200231063


WRIGHTSVILLE

478-864-4870 WRIGHTSVILLE GA NO NO08/14/200231096

112726 MONTICELLO DIALYSIS CENTER 706-468-8124 MONTICELLO GA NO NO08/27/200231064

112727 GAMBRO HEALTHCARE LORING

HEIGHTS

404-352-2712 ATLANTA GA NO NO09/20/200230318


ELLIJAY

706-635-5358 ELLIJAY GA YES NO11/26/200230540


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

112729 BAKERS FERRY DIALYSIS 404-691-1193 ATLANTA GA NO NO11/19/200230331

112732 FMC OF FORT VALLEY 478-827-7077 FORT VALLEY GA NO NO03/07/200331030

112733 DCA OF ADEL 229-896-6452 ADEL GA NO NO06/04/200331620

112734 FMCNA DIALYSIS SERVICES OF

CHATTAHOOCHEE VALLEY

706-571-1620 COLUMBUS GA NO NO06/17/200331906

112735 EISENHOWER PARKWAY

DIALYSIS CENTER

478-738-8042 MACON GA YES NO09/02/200331206

112736 OCONEE DIALYSIS CENTER 478-451-1006 MILLEDGEVILLE GA NO NO09/03/200331061

112737 SMYRNA DIALYSIS CENTER LLC 678-303-3506 SMYRNA GA YES NO01/22/200430082

112738 FMCNA OF NORTH COBB 770-528-8389 MARIETTA GA NO NO02/04/200430066

112739 VALDOSTA DIALYSIS 229-242-2961 VALDOSTA GA NO NO03/04/200431601

112740 JACKSON DIALYSIS CENTER 770-504-4952 JACKSON GA YES NO03/18/200430233

112741 DAVITA GROVEPARK DIALYSIS

CENTER

770-504-4036 JACKSON GA YES NO05/28/200430233

112742 WEST GEORGIA DIALYSIS 706-320-0010 COLUMBUS GA NO NO09/30/200431906


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

112743 RCG LAKE LANIER 678-450-0036 GAINESVILLE GA NO NO12/22/200430501

112744 DIALYSIS FACILITY OF ALMA

INC

912-632-2801 ALMA GA YES NO01/19/200531510

112745 LAKE HEARN DIALYSIS 404-847-7985 ATLANTA GA YES NO02/02/200530342

112746 DIALYSIS OF LITHONIA 678-418-8980 DECATUR GA YES NO03/16/200530035

112747 COMPREHENSIVE RENAL CARE

OF DUNWOODY INC

770-518-8212 ATLANTA GA YES NO03/15/200530350

112748 COMMUNITY DIALYSIS CENTER

OF COLUMBUS LLC

706-507-7000 COLUMBUS GA YES NO03/30/200531901


CARROLLTON

770-832-2220 CARROLLTON GA YES NO04/21/200530117

112750 COLLEGE PARK DIALYSIS

CENTER LLC

404-591-1202 COLLEGE PARK GA YES NO06/29/200530337


OF WEST GEORGIA II

770-537-7022 BREMEN GA YES NO07/27/2005GA0041 30110

112752 HARBIN CLINIC DIALYSIS

CENTER

706-234-4690 ROME GA YES NO09/08/2005GA0042 30161

112753 STOCKBRIDGE DIALYSIS

CLINIC

678-565-5622 STOCKBRIDGE GA YES NO09/21/200530281

112754 MIDTOWN MACON DIALYSIS

CENTER

478-742-2800 MACON GA YES NO12/22/200531201


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

112755 LOGANVILLE DIALYSIS CENTER 678-639-9163 LOGANVILLE GA YES NO12/02/200530052

112756 LINDBERGH DIALYSIS CENTER 706-227-7311 ATLANTA GA YES NO01/04/200630324

112757 BARNESVILLE DIALYSIS 770-358-8150 BARNESVILLE GA NO NO01/03/200630204

112758 LAWRENCEVILLE DIALYSIS 770-513-3283 LAWRENCEVILLE GA YES NO12/19/200530043

112759 LITHONIA ROCKDALE

DIALYSIS, LLC.

770-482-2599 LITHONIA GA YES NO12/21/200530058

112760 BUFORD DIALYSIS 770-831-1237 BUFORD GA YES NO12/22/200530518

113300 EGLESTON CHILDRENS

HOSPITAL TRANSPLANT UNIT

404-785-5612 ATLANTA GA NO YES04/01/198130322

113500 BROOKS COUNTY DIALYSIS

FACILITY

229-263-3634 QUITMAN GA NO NO02/07/198931643

113501 DECATUR COUNTY DIALYSIS

CENTER

229-243-3028 BAINBRIDGE GA NO NO10/14/198539819

113502 MITCHELL COUNTY DIALYSIS

FACILITY

229-336-6587 CAMILLA GA NO NO12/30/198731730

113504 GRADY COUNTY DIALYSIS

FACILITY

229-377-7960 CAIRO GA NO NO04/04/199631728

650001 GUAM MEMORIAL

HOSPITAL/DIALYSIS

671-647-7223 BARRIGADA GU NO NO08/12/1977652300 96913


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

652500 GUAM DIALYSIS

CENTER-TAMUNING

671-646-6351 TAMUNING GU YES NO04/28/199396913

652501 GUAM RENAL CARE 671-475-5360 HAGATNA GU NO NO05/03/199696910

120010 ST FRANCIS MEDICAL CENTER

DIALYSIS

808-547-7652 HONOLULU HI YES YES08/26/1977122301 96817

120010 ST FRANCIS MEDICAL CENTER

TRANSPLANT

808-547-7622 HONOLULU HI NO YES08/26/1977122301 96817

122500 FMC WAHIAWA DIALYSIS

CENTER

808-621-1515 WAHIAWA HI NO NO08/01/198396786

122501 FMC-HONOLULU DIALYSIS

CENTER

808-545-5393 HONOLULU HI YES NO08/01/198396817

122502 FMC - WINDWARD DIALYSIS

CENTER

808-235-5088 KANEOHE HI NO NO07/07/198796744

122503 FMC ALOHA DIALYSIS CENTER 808-531-1174 HONOLULU HI NO NO03/16/198896817

122505 NORTH HAWAII DIALYSIS 808-881-1449 KAMUELA HI NO NO11/08/199696743

122506 FMC LANAI COMMUNITY

DIALYSIS CENTER

808-565-5965 LANAI CITY HI NO NO04/06/199996763


KAPOLEI

808-693-3898 KAPOLEI HI YES NO09/10/200196707


PEARLRIDGE

808-440-0480 AIEA HI YES NO07/01/200296701


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

123500 HILO DIALYSIS 808-935-5342 HILO HI YES NO08/14/197796720

123501 MAUI DIALYSIS 808-244-4960 WAILUKU HI NO NO08/15/197796793

123502 KAUAI DIALYSIS 808-245-5377 LIHUE HI NO NO08/13/197796766

123503 LEEWARD DIALYSIS 808-671-1304 EWA BEACH HI NO NO08/31/197796706

123505 KONA DIALYSIS 808-322-2213 KEALAKEKUA HI NO NO11/28/198696750

123506 WAIANAE DIALYSIS 808-696-6021 WAIANAE HI NO NO03/21/199596792

123507 KAHANA DIALYSIS 808-669-9662 LAHAINA HI NO NO03/23/199596761

123508 WEST KAUAI DIALYSIS 808-338-8110 WAIMEA HI NO NO09/28/199896796

123509 MOLOKAI DIALYSIS FACILITY 808-553-3808 KAUNAKAKAI HI NO NO04/05/200096748

160005 SAINT ANTHONYS REGIONAL

HOSPITAL

712-792-2827 CARROLL IA NO NO04/09/1993162314 51401

160016 TRINITY REGIONAL MEDICAL

CENTER

515-574-4620 FORT DODGE IA YES NO09/01/1976162300 50501

160020 MERCY MEDICAL CENTER -

CENTERVILLE

641-437-7351 CENTERVILLE IA NO NO08/03/2005162329 52544


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

160030 MARY GREELEY MEDICAL

CENTER - AMES

515-239-9680 AMES IA YES NO07/28/1977162304 50010

160033 GENESIS MEDICAL CENTER 563-421-1644 DAVENPORT IA YES NO07/28/1977162303 52803

160044 PELLA REGIONAL HEALTH

CENTER

641-628-8315 PELLA IA NO NO10/01/1997162320 50219

160048 RINGGOLD COUNTY HOSPITAL

DIALYSIS UNIT

641-464-4446 MOUNT AYR IA NO NO11/06/2001162325 50854

16004F V.A. MEDICAL CENTER - IOWA

CITY

319-338-8058 IOWA CITY IA NO YES07/27/1977162305 52246

16004F V. A. MEDICAL CENTER - IOWA

CITY


160058 UNIVERSITY OF IOWA

HOSPITAL & CLINICS


160064 MERCY DIALYSIS CENTER -

MASON CITY

641-422-2796 MASON CITY IA YES NO08/14/1991162312 50401

160067 COVENANT MEDICAL CENTER 319-272-2870 WATERLOO IA NO NO07/01/1966162307 50702


CEDAR RAPIDS

319-398-8643 CEDAR RAPIDS IA YES NO03/12/1985162309 52403


CLINTON

563-244-4368 CLINTON IA NO NO03/04/1992162313 52732

160082 IOWA METHODIST MEDICAL

CENTER

515-241-1404 DES MOINES IA NO YES12/07/1987162311 50309


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

160083 MERCY HOSPITAL MEDICAL

CENTER - TRANSPLANT

515-247-7426 DES MOINES IA NO YES10/07/1986162310 50314

160089 OTTUMWA REGIONAL HEALTH

CENTER

641-684-4238 OTTUMWA IA YES NO12/20/1994162319 52501

160112 MILTON & ETHEL WARNER

DIALYSIS UNIT - SPENCER

712-264-4646 SPENCER IA NO NO09/13/1994162318 51301

160113 WAYNE COUNTY HOSPITAL

ESRD

641-872-2226 CORYDON IA NO NO06/01/200050060

161329 JACKSON COUNTY PUBLIC

HOPSITAL

563-652-2405 MAQUOKETA IA NO NO01/28/200352060

162500 TRI- STATE DIALYSIS -

DUBUQUE

563-589-9403 DUBUQUE IA YES NO09/17/198052001

162501 CENTRAL DES MOINES

DIALYSIS

515-241-1571 DES MOINES IA YES NO06/12/198613 50309

162506 WEST DES MOINES DIALYSIS 515-221-1294 WEST DES MOINES IA NO NO01/01/1996220 50266

162507 QUAD CITIES KIDNEY CENTER -

DAVENPORT

563-323-3330 DAVENPORT IA NO NO04/01/1996223 52803


GUTTENBERG

563-252-2255 GUTTENBERG IA NO NO01/08/1997257 52052

162509 SOUTHEASTERN RENAL

DIALYSIS, L.C. - MOUNT

PLEASANT

319-385-5672 MOUNT PLEASANT IA YES NO04/01/199710 52641


MANCHESTER

563-927-7737 MANCHESTER IA NO NO06/19/1997272 52057


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


DIALYSIS,L.C. - W

BURLINGTON

319-758-8069 WEST BURLINGTON IA NO NO09/30/1997284 52655


COUNCIL BLUFFS

712-388-8026 COUNCIL BLUFFS IA NO NO11/17/1997300 51503

162514 CRESTON DIALYSIS 641-782-2388 CRESTON IA NO NO12/19/1997294 50801

162515 SIOUXLAND DIALYSIS 712-266-6100 SIOUX CITY IA YES NO09/30/1998325 51106

162516 CEDAR VALLEY DIALYSIS

CENTER

319-833-3577 WATERLOO IA YES NO10/30/1998317 50701


DIALYSIS, L.C. - LEE COUNTY

319-524-4210 KEOKUK IA NO NO01/06/1999328 52632

162518 RENAL CENTER OF STORM

LAKE, LLC

712-732-2690 STORM LAKE IA YES NO05/27/1999337 50588

162519 COVENANT - MERCYCARE, INC. 319-472-2635 VINTON IA YES NO05/01/200052349

162520 ATLANTIC DIALYSIS 712-243-3748 ATLANTIC IA NO NO06/20/200050022

162522 COVENANT-MERCYCARE

DIALYSIS - INDEPENDENCE

319-334-4743 INDEPENDENCE IA NO NO07/20/200050644

162523 NEWTON DIALYSIS 641-792-2260 NEWTON IA NO NO04/26/200150208

162524 DIALYSIS CLINIC INC. -

ONAWA

712-433-3972 ONAWA IA NO NO03/28/200251040


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

162525 FMC MIDWEST DIALYSIS 712-239-9433 SIOUX CITY IA NO NO12/04/200251108

162526 CEDAR VALLEY DIALYSIS -

WEST UNION

563-422-2573 WEST UNION IA NO NO06/30/200352175

162527 SHENANDOAH DIALYSIS 712-246-6522 SHENANDOAH IA NO NO11/01/200351601

162528 HARLAN DIALYSIS 712-755-5421 HARLAN IA NO NO11/01/200351537

162529 DIALYSIS OF DES MOINES 515-283-3130 DES MOINES IA YES NO03/16/200450309


BETTENDORF LLC

563-344-4997 BETTENDORF IA NO NO12/15/200452722

162532 RCG - MERCY DES MOINES LLC 515-247-7423 DES MOINES IA YES NO05/01/200450314

162533 EAST DES MOINES DIALYSIS 515-262-2599 DES MOINES IA YES NO05/11/200550318


CENTER - MARSHALLTOWN

641-752-2181 MARSHALLTOWN IA YES NO03/10/1995214 50158

163502 MAYO DIALYSIS CENTER -

DECORAH

563-382-2196 DECORAH IA NO NO02/13/1996222 52101


CENTER - IOWA FALLS

641-648-8524 IOWA FALLS IA NO NO06/20/1996240 50126


HOSPITAL & CLINICS -

MUSCATINE

563-262-2930 MUSCATINE IA NO NO08/16/1996239 52761


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

163505 COVENANT WAVERLY DIALYSIS

CENTER

319-268-8357 WAVERLY IA NO NO02/20/1997160038 50677

163506 NORTH IOWA MERCY DIALYSIS

CENTER - CHARLES CITY

641-228-8356 CHARLES CITY IA NO NO04/10/1997270 50616



GRINNELL

641-236-6741 GRINNELL IA NO NO07/28/1997275 50112

163508 NORTH IOWA MERCY DIALYSIS

CENTER - ALGONA

515-295-5245 ALGONA IA NO NO11/17/1997293 50511


HOSPITAL & CLINICS - NORTH

LIBERTY

319-626-6217 NORTH LIBERTY IA NO NO09/01/1998320 52317



WASHINGTON

319-653-3417 WASHINGTON IA NO NO03/01/1999333 52353

163513 WARNER DIALYSIS CENTER 712-336-6291 SPIRIT LAKE IA NO NO11/15/200251360

163514 MERCY MEDICAL CENTER

DIALYSIS - MERCY PLAZA

319-398-8642 CEDAR RAPIDS IA YES NO12/18/200352402

132500 GEM STATE REGIONAL

DIALYSIS CENTER

208-522-2483 IDAHO FALLS ID YES NO07/31/198683404

132501 ST ALPHONSUS NC - NAMPA 208-467-7518 NAMPA ID YES NO10/13/198983651

132502 ST ALPHONSUS NC - BOISE 208-367-7221 BOISE ID YES NO09/01/197783706

132503 ST ALPHONSUS NC - BURLEY 208-677-7548 BURLEY ID NO NO12/18/199783318


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

132505 ST ALPHONSUS NC - TWIN

FALLS

208-737-7000 TWIN FALLS ID YES NO10/06/199983301

132506 PORTNEUF NEPHROLOGY

CENTER

208-637-7109 POCATELLO ID YES NO11/09/199983201

132507 INRCG NORTH IDAHO

DIALYSIS FACILITY

208-664-4306 COEUR D'ALENE ID NO NO11/01/200083814

132508 INRCG POST FALLS DIALYSIS

UNIT

208-777-7605 POST FALLS ID NO NO09/21/200483854

132509 FMC OF LEWISTON 208-746-6828 LEWISTON ID YES NO12/07/200483501

132510 YELLOWSTONE DIALYSIS

CENTER

208-656-6037 REXBURG ID NO NO10/04/200583440

132511 IDAHO KIDNEY CENTER -

POCATELLO

208-478-8560 POCATELLO ID YES NO10/05/200583201

132512 LIBERTY DIALYSIS - MERIDIAN 208-846-6833 MERIDIAN ID YES NO10/14/200583642

140010 EVANSTON NORTHWESTERN

HEALTHCARE

847-570-0158 EVANSTON IL YES NO11/17/199760201

140015 BLESSING HOSPITAL RENAL

DIALYSIS

217-223-3840 QUINCY IL YES NO01/01/197262301

140018 MT SINAI HOSP MEDICAL

CENTER RENAL UNIT

773-257-7668 CHICAGO IL NO NO10/25/196660608

14002F VA MEDICAL CENTER-LAKESIDE 312-469-9361 CHICAGO IL NO NO07/22/199960611


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

140030 SHERMAN HOSPITAL DIALYSIS

CENTER

847-429-9875 ELGIN IL YES NO09/01/197760120

14003F JESSE BROWN VA MEDICAL

CENTER-WESTSIDE

312-569-9696 CHICAGO IL NO NO10/25/199660680

140067 ST FRANCIS MEDICAL CENTER 309-655-5200 PEORIA IL NO YES01/01/198061637

14007F VA MEDICAL CENTER - HINES 708-202-2278 HINES IL YES NO01/01/198060141

140088 UNIVERSITY OF CHICAGO

HOSPITALS-TRANSPLANT

773-702-2339 CHICAGO IL NO YES01/02/197060637

140108 HIGHLAND PARK HOSPITAL 847-480-0370 HIGHLAND PARK IL YES NO11/05/198060035

140117 RESURRECTION MEDICAL

CENTER

773-792-2992 CHICAGO IL YES NO07/13/199260631

140119 RUSH-UNIVERSITY-ST LUKES

MEDICAL CENTER

312-942-2369 CHICAGO IL YES YES01/01/198060612

140119 RUSH-PRESBYTERIAN - ST

LUKES MEDICAL CENTER

312-942-2425 CHICAGO IL NO YES01/01/198060612

14011F US AIR FORCE HOSP 999-999-9999 SCOTT AFB IL NO YES01/01/198062225

140124 JOHN H. STROGER

JR.HOSPITAL OF COOK COUNTY

312-864-4460 CHICAGO IL YES NO09/01/197760612

140148 MEMORIAL MEDICAL CENTER -

TRANSPLANT

217-788-8344 SPRINGFIELD IL NO YES06/15/197562781


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

140150 UNIVERSITY OF ILLINOIS

HOSPITAL - DIALYSIS

312-413-3520 CHICAGO IL YES YES01/01/196860612

140155 PROVENA ST MARYS

HOSPITAL-DIALYSIS CENTER

815-937-7247 KANKAKEE IL YES NO10/25/199660901

140213 SILVER CROSS HOSPITAL 815-740-0714 JOLIET IL YES NO05/01/197360432

140276 FOSTER MCGAW HOSPITAL OF

LOYOLA

708-531-1705 MAYWOOD IL YES YES07/02/196960153

140281 NORTHWESTERN MEMORIAL

HOSPTIAL-TRANSPLANT DEPT

312-695-5034 CHICAGO IL NO YES01/01/197760611

142500 FMC - NEOMEDICA - NILES 847-647-7850 NILES IL NO NO09/01/197760714

142501 FMC - NEOMEDICA - NORTH

KILPATRICK

773-545-5369 CHICAGO IL NO NO07/01/197360630

142502 FMC - NEOMEDICA - LOOP 312-834-4065 CHICAGO IL YES NO07/01/197360607

142503 FMC - DOWNERS GROVE

DIALYSIS CENTER

630-964-4260 DOWNERS GROVE IL YES NO01/01/200060515

142504 FMC - OAK PARK DIALYSIS

UNIT

708-386-6875 OAK PARK IL YES NO01/01/198060302

142505 RCG - LOOP 312-332-2689 CHICAGO IL YES NO01/01/198060602

142506 FMC - CHICAGO DIALYSIS

CENTER

312-930-0936 CHICAGO IL NO NO09/01/197760607


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

142507 FMC - ELK GROVE DIALYSIS

CENTER

847-437-7082 ELK GROVE

VILLAGE

IL YES NO09/01/197760007

142508 FMC - SOUTHSIDE DIALYSIS

CENTER

773-471-1040 CHICAGO IL YES NO01/01/199060620

142509 FMC - CENTRAL DUPAGE

DIALYSIS CENTER

630-293-3635 WEST CHICAGO IL YES NO07/01/199560185

142511 FMC - NEOMEDICA - EVANSTON 847-491-1121 EVANSTON IL YES NO01/01/198160201

142514 FMC - CARBONDALE 618-529-9211 CARBONDALE IL YES NO03/01/197662901

142515 FMC - AURORA DIALYSIS

CENTER

630-892-2744 AURORA IL YES NO07/01/199660506

142516 FMC - JACKSON PARK DIALYSIS

CENTER

773-947-7751 CHICAGO IL NO NO09/01/197760649

142517 RCG - SOUTH SUBURBAN 708-747-7005 OLYMPIA FIELDS IL YES NO01/01/197860461

142518 RCG - SCOTTSDALE 773-582-2891 CHICAGO IL YES NO06/01/197860652

142519 FMC - NEOMEDICA - SOUTH 773-734-4743 CHICAGO IL NO NO10/05/197860617

142520 FMC - LAGRANGE DIALYSIS

CENTER

708-409-9778 WESTCHESTER IL NO NO09/05/198860154

142521 FMC - NEOMEDICA -

CUMBERLAND

708-456-6015 NORRIDGE IL NO NO10/17/197960656


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

142522 RCG - ROGERS PARK 773-262-2714 CHICAGO IL NO NO10/25/199660645

142523 FMC - NEOMEDICA - WEST

BELMONT

773-685-5750 CHICAGO IL NO NO12/03/197960641

142524 FMC - BRIDGEPORT 773-890-0433 CHICAGO IL NO NO09/01/198060609

142525 FMC - NEOMEDICA - ROLLING

MEADOWS

847-394-4625 ROLLING

MEADOWS

IL NO NO01/01/198060008

142526 QUAD CITIES KIDNEY CENTER

LTD

309-762-2557 MOLINE IL YES NO08/01/198161265

142527 METRO EAST DIALYSIS 618-233-3901 BELLEVILLE IL YES NO09/12/198262226

142528 DAVITA - LINCOLN PARK

NEPHROLOGY ASSN, SC

773-348-8010 CHICAGO IL NO NO05/01/198260657

142529 DAVITA - HYDE PARK KIDNEY

CENTER

773-947-7077 CHICAGO IL YES NO07/22/198260615

142530 FMC - WEST SUBURBAN

DIALYSIS CENTER

708-386-6555 OAK PARK IL YES NO01/01/199960302

142531 FMC - NEOMEDICA -EAST

BELMONT

773-880-0653 CHICAGO IL YES NO11/04/198360657

142533 RCG - BERWYN 708-484-4730 BERWYN IL YES NO06/11/198560402

142534 DAVITA - LOGAN SQUARE

DIALYSIS SVCS INC

773-276-6369 CHICAGO IL NO NO10/30/198660647


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

142535 FMC - SOUTHWEST ILLINOIS 618-254-4111 EAST ALTON IL YES NO02/01/198862024

142536 FMC - WEST METRO DIALYSIS 773-772-2940 CHICAGO IL YES NO01/27/198760622

142537 DAVITA - GRANITE CITY

DIALYSIS CENTER

618-452-2585 GRANITE CITY IL YES NO04/01/198862040

142538 RCG - CRESTWOOD 708-385-5140 CRESTWOOD IL NO NO01/01/198060445

142539 FMC - BLUE ISLAND DIALYSIS

CENTER

708-597-7993 BLUE ISLAND IL YES NO06/24/198860406

142540 CIRCLE MEDICAL MANAGEMENT 312-829-9142 CHICAGO IL YES NO01/12/198860607

142541 NEPHROPLEX DIALYSIS OF MT

VERNON

618-244-4485 MOUNT VERNON IL YES NO12/05/198862864

142542 FMC - NEOMEDICA - SOUTH

HOLLAND

708-474-4870 SOUTH HOLLAND IL YES NO12/22/198860473

142543 FMC - NAPERVILLE DIALYSIS

CENTER

630-717-7717 NAPERVILLE IL YES NO10/25/199660566

142544 RCG - SOUTH HOLLAND 708-331-1020 SOUTH HOLLAND IL NO NO01/01/198060473


EVERGREEN PARK

708-423-3883 EVERGREEN PARK IL YES NO05/09/198960805

142546 RAI - CENTRE WEST

SPRINGFIELD

217-787-7331 SPRINGFIELD IL YES NO10/25/199662704


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

142547 FMCNA - NEOMEDICA -

HOFFMAN ESTATES

847-310-0007 HOFFMAN ESTATES IL YES NO07/05/199060195

142548 DAVITA - OLYMPIA FIELDS

DIALYSIS CENTER

708-503-3111 MATTESON IL YES NO09/24/199060443

142549 FMC - NEOMEDICA - GURNEE 847-249-9555 GURNEE IL YES NO11/19/199060031

142550 RCG - ORLAND PARK 708-403-3279 ORLAND PARK IL NO NO10/25/199660462

142551 FMC - GLENVIEW DIALYSIS

CENTER

847-824-4200 GLENVIEW IL YES NO11/28/199060025

142552 DAVITA - LAKE COUNTY

DIALYSIS SERVICES INC

847-918-8701 LIBERTYVILLE IL NO NO01/11/199160048

142553 SUN HEALTH INC 815-744-4930 JOLIET IL YES NO10/25/199660435

142554 FMC - NEOMEDICA - MELROSE

PARK

708-338-8178 MELROSE PARK IL YES NO03/17/199260160

142555 RCG - GARFIELD 773-548-8571 CHICAGO IL YES NO10/25/199760609

142558 FAIRVIEW HEIGHTS DIALYSIS 618-632-2955 FAIRVIEW HEIGHTS IL YES NO09/09/199762208

142559 FMC - NORTH AMERICA -

ADVOCATE

847-518-8810 NILES IL YES NO01/11/199260714

142560 DAVITA - SKYLINE HOME

DIALYSIS

773-637-7730 CHICAGO IL YES NO04/13/199360634


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

142561 DAVITA - SAUGET DIALYSIS

CENTER

618-332-2780 SAUGET IL YES NO05/13/199362206

142562 RCG - EAST PEORIA 309-698-8658 EAST PEORIA IL YES NO01/01/198061611

142563 RCG - BLOOMINGTON 309-663-3716 BLOOMINGTON IL NO NO10/01/199361701

142564 RENAL CARE GROUP - SPRING

VALLEY

815-664-4458 SPRING VALLEY IL NO NO10/01/199361362

142565 RCG - CANTON 309-647-7073 CANTON IL NO NO10/01/199361520


MARQUETTE PARK

773-471-1852 CHICAGO IL NO NO10/04/199360629

142567 RCG - WAUKEGAN - HOME

PROGRAM

847-360-0962 WAUKEGAN IL YES NO01/01/200060085

142568 FOX VALLEY DIALYSIS 630-236-6130 AURORA IL YES NO10/25/199660504

142569 RCG - PRAIRIE 312-913-3000 CHICAGO IL NO NO01/01/199560616

142570 NEPHROPLEX DIALYSIS OF

MARION

618-997-7841 MARION IL YES NO12/04/198862959

142571 RCG - PEKIN 309-353-3762 PEKIN IL NO NO02/23/199561554

142572 FMC - NEOMEDICA - SOUTH

SHORE

773-374-4900 CHICAGO IL NO NO02/13/199560649


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

142573 FMC - SALINE COUNTY 618-252-2110 HARRISBURG IL YES NO10/25/199662946

142574 RCG - PEORIA DOWNTOWN 309-637-7410 PEORIA IL NO NO06/12/199561605

142575 RCG - MARKHAM 708-333-3351 MARKHAM IL YES NO06/21/1996140191 60426

142576 RENAL CARE GROUP - OTTAWA 815-434-4212 OTTAWA IL NO NO10/25/199661350

142577 RCG - WAUKEGAN 847-662-2511 WAUKEGAN IL YES NO08/22/1997140084 60085

142578 RCG - MIDWEST - KEWANEE 309-854-4091 KEWANEE IL NO NO07/21/199761443

142579 WESTERN ILLINOIS KIDNEY

CENTER

309-345-5458 GALESBURG IL YES NO05/25/1998140040 61401

142580 EFFINGHAM DIALYSIS 217-342-2955 EFFINGHAM IL YES NO01/01/1998143501 62401

142581 JACKSONVILLE DIALYSIS 217-243-3304 JACKSONVILLE IL NO NO10/25/1996143505 62650

142582 LINCOLN DIALYSIS 217-732-2679 LINCOLN IL YES NO01/01/1998143517 62656

142583 LITCHFIELD DIALYSIS 217-324-4220 LITCHFIELD IL NO NO10/25/1996143514 62056

142584 MACON COUNTY DIALYSIS 217-877-7935 DECATUR IL NO NO01/01/1998143506 62526


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

142585 MATTOON DIALYSIS 217-234-4846 MATTOON IL NO NO01/01/1998143518 61938

142586 DAVITA - SPRINGFIELD

CENTRAL DIALYSIS

217-788-8368 SPRINGFIELD IL YES NO01/01/1998143504 62702

142587 TAYLORVILLE DIALYSIS 217-824-4546 TAYLORVILLE IL NO NO10/25/1996143522 62568

142588 FMC - CHAMPAIGN - URBANA

DIALYSIS CENTER

217-328-8410 URBANA IL YES NO12/31/1998140113 61801

142589 FMC - RANDOLPH COUNTY 618-826-6441 CHESTER IL NO NO03/05/199962233

142590 SPRINGFIELD MONTVALE

DIALYSIS

217-793-3278 SPRINGFIELD IL NO NO08/23/199962704

142591 MMB DIALYSIS LLC 309-836-6166 MACOMB IL NO NO03/03/200061455


GENESEO

309-945-5178 GENESEO IL NO NO11/09/199961254

142593 FMC - LAGRANGE HOME

DIALYSIS CENTER

708-562-2822 WESTCHESTER IL YES NO02/07/200060154

142594 FMC - ELK GROVE HOME

DIALYSIS CENTER

847-952-2989 ELK GROVE

VILLAGE

IL YES NO08/31/200060007

142595 FMC - DUQUOIN 618-542-2647 DUQUOIN IL NO NO02/15/200062832

142596 RCG - MORRIS 815-942-2609 MORRIS IL NO NO01/24/200060450


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

142597 RENAL CARE GROUP-UNIV

PROGRAM

312-274-4020 CHICAGO IL YES NO01/01/2000140281 60611

142598 QUALITY RENAL CARE 847-426-6645 CARPENTERSVILLE IL YES NO05/30/200060110

142599 DECATUR EAST WOOD

DIALYSIS

217-425-5640 DECATUR IL NO NO06/01/200062523

142600 NEPHRON DIALYSIS CENTER

LTD

773-293-3210 CHICAGO IL YES NO06/15/200060625

142601 FMC - GREENWOOD AVENUE

DIALYSIS CENTER

773-375-5566 CHICAGO IL YES NO07/06/200060619

142602 FMCNA - NORTH AVENUE

DIALYSIS CENTER

708-344-4612 MELROSE PARK IL NO NO07/11/200060160

142603 RCG - DECATUR 217-423-3676 DECATUR IL NO NO08/11/200062521

142604 DAVITA - CHILDRENS DIALYSIS

CENTER

773-549-9201 CHICAGO IL YES NO04/01/2000143300 60614

142605 FMC - BOLINGBROOK DIALYSIS 630-972-2866 BOLINGBROOK IL NO NO11/06/200060440

142606 DUPAGE PERITONEAL DIALYSIS

SERVICES INC

630-832-2527 ELMHURST IL YES NO12/15/200060126


HAZELCREST

708-798-8289 HAZEL CREST IL NO NO10/09/200060429


BENTON

618-435-5485 BENTON IL YES NO03/14/200162812


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


CENTRALIA

618-533-3253 CENTRALIA IL YES NO11/15/200062801

142610 RCG - DECATUR - PD 217-876-6866 DECATUR IL YES NO04/01/200162526

142611 RENAL CARE GROUP - PONTIAC 815-844-4434 PONTIAC IL NO NO03/27/200161764

142612 RCG - VILLA PARK 630-617-7880 VILLA PARK IL YES NO12/04/200060181

142613 RCG - PEORIA NORTH 309-243-3220 PEORIA IL YES NO03/19/200161615

142614 TRI CITIES DIALYSIS LLC 630-262-2130 GENEVA IL YES NO03/05/200160134

142615 RCG - ROCKFORD 815-332-2861 ROCKFORD IL YES NO06/04/200161112

142616 FMC - NEOMEDICA - ROUND

LAKE

847-740-0528 ROUND LAKE

HEIGHTS

IL YES NO01/08/200160073

142617 FMC - GLENDALE HEIGHTS

DIALYSIS CENTER

630-858-8802 GLENDALE

HEIGHTS

IL YES NO10/01/200160139

142618 RCG - SKOKIE 847-581-1162 SKOKIE IL YES NO07/01/200160077

142619 ALTON DIALYSIS 618-465-5474 ALTON IL YES NO09/01/200162002

142620 RUSHVILLE DIALYSIS 217-322-2265 RUSHVILLE IL NO NO12/06/200162681


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

142621 RCG - MIDAMERICA EVANSTON 847-869-9943 EVANSTON IL NO NO08/01/200160201

142622 RCG - HAZELCREST 708-799-9310 HAZEL CREST IL NO NO02/28/200260429

142624 SHELBYVILLE COMMUNITY

DIALYSIS

217-774-4152 SHELBYVILLE IL YES NO02/06/200362565

142625 DANVILLE DIALYSIS SERVICES,

LLC

217-446-6111 DANVILLE IL YES NO04/02/200261832

142626 NORTHWEST P. D. KARE 847-506-6040 ARLINGTON

HEIGHTS

IL YES NO05/22/200260005

142627 FMC - WILLIAMSON COUNTY 618-993-3162 MARION IL YES NO07/11/200262959

142628 RCG - NORTHWEST KIDNEY

CENTER

847-437-7218 ARLINGTON

HEIGHTS

IL NO NO07/23/200260006

142630 FMC - ALSIP DIALYSIS CENTER 708-389-9095 ALSIP IL YES NO01/30/200360803


CONGRESS PARKWAY

773-722-2424 CHICAGO IL YES NO11/06/200260624

142632 FMC - WILLOWBROOK 630-325-5030 WILLOWBROOK IL YES NO10/02/200260527

142633 DAVITA - ILLINI RENAL

DIALYSIS

217-378-8780 CHAMPAIGN IL YES NO02/03/200361820

142634 DAVITA - MARYVILLE DIALYSIS 618-288-8070 MARYVILLE IL YES NO01/01/200362062


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

142635 DAVITA - CHICAGO HEIGHTS

DIALYSIS

708-755-5900 CHICAGO HEIGHTS IL NO NO03/10/200360441

142636 JCH DIALYSIS LLC 618-498-8953 JERSEYVILLE IL NO NO03/31/200362052

142637 BREESE DIALYSIS 618-526-6737 BREESE IL YES NO03/24/200362230

142638 DIAMOND DIALYSIS 773-238-8520 CHICAGO IL YES NO06/06/200360620

142639 DAVITA - SYCAMORE 815-758-8020 SYCAMORE IL NO NO02/01/199060178


BURBANK

708-229-9058 BURBANK IL YES NO09/08/200360459

142643 QUALITY RENAL CARE, LLC 815-568-8580 MARENGO IL NO NO11/03/200360152

142644 MAPLE AVENUE KIDNEY

CENTER

708-660-0410 OAK PARK IL YES NO12/12/200360304

142645 DIXON DIALYSIS CENTER 815-284-4055 DIXON IL NO NO03/18/200461021

142646 GARFIELD KIDNEY CENTER 773-638-8116 CHICAGO IL NO NO12/01/2003IL0016 60624

142647 DAVITA - ROCKFORD DIALYSIS 815-963-3484 ROCKFORD IL YES NO01/01/197661103

142649 MONTCLARE DIALYSIS 773-889-9605 CHICAGO IL NO NO06/07/200460634


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

142650 RENAL CARE GROUP - BUFFALO

GROVE

847-253-3940 BUFFALO GROVE IL NO NO07/20/200460089

142651 DAVITA- DIXON KIDNEY

CENTER

815-284-4059 DIXON IL NO NO09/08/200461021

142652 RCG - CENTRAL IL.

BLOOMINGTON PD

309-664-4228 BLOOMINGTON IL YES NO11/03/200461701

142653 FMC - AUSTIN COMMUNITY

KIDNEY CENTER

773-287-7068 CHICAGO IL NO NO10/12/200460651

142654 RCG - SCHAUMBURG 847-524-4431 SCHAUMBURG IL NO NO10/15/200460193

142655 DIRECT DIALYSIS 708-824-4920 CRESTWOOD IL YES NO11/29/200460445

142656 RCG CENTRAL ILLINOIS -

MORRIS PD

815-942-2609 MORRIS IL YES NO11/01/200460450

142658 ALEDO KIDNEY CENTER, LLC 309-582-2222 ALEDO IL NO NO12/21/200461231

142659 SUMMIT MEDICAL CARE 312-491-1970 CHICAGO IL YES NO01/06/200560608

142660 DAVITA DIALYSIS MT

GREENWOOD

773-445-5055 MERRIONETTE

PARK

IL YES NO03/07/200560655

142661 DIAMOND DIALYSIS - OAK

LAWN

708-423-3030 OAK LAWN IL YES NO03/21/200560453

142662 ARA-SOUTH BARRINGTON

DIALYSIS CENTER

847-783-3683 SOUTH

BARRINGTON

IL YES NO04/06/200560010


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

142663 CENTER FOR RENAL

REPLACEMENT, LLC

847-675-5555 LINCOLNWOOD IL YES NO05/04/200560712

142664 ARA - CRYSTAL LAKE DIALYSIS

CENTER

815-477-7082 CRYSTAL LAKE IL YES NO05/16/200560014

142665 DAVITA - ROXBURY DIALYSIS

CENTER

815-397-7071 ROCKFORD IL NO NO05/27/200561108

142666 LAKE VILLA DIALYSIS 847-245-5487 LAKE VILLA IL NO NO06/13/200560046

142667 RCG - MERRIONETTE PARK 708-389-9909 MERRIONETTE

PARK

IL NO NO07/11/200560803

142668 DAVITA - LITTLE VILLAGE

DIALYSIS

773-523-3293 CHICAGO IL NO NO07/28/200560608

142669 FMCNA - LAKE BLUFF 847-735-5087 LAKE BLUFF IL YES NO08/29/200560044

142670 MIDWEST RENAL CARE, INC. 773-873-3200 CHICAGO IL YES NO10/24/200560621

142671 MANTENO DIALYSIS CENTRE 815-468-8100 MANTENO IL YES NO11/15/200560950

143300 CHILDRENS MEMORIAL

HOSPITAL

773-880-0371 CHICAGO IL NO YES01/01/198060614

143509 SHERMAN FAMILY HEALTH

CARE OF CRYSTAL LAKE

815-479-9581 CRYSTAL LAKE IL NO NO04/01/198160012

143516 SILVER CROSS RENAL CENTER

WEST

815-729-9924 SHOREWOOD IL YES NO10/08/199160431


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

143520 DAVITA - FREEPORT DIALYSIS

SATELLITE

815-232-2247 FREEPORT IL NO NO01/01/198061032

143521 DAVITA - CHURCHVIEW

DIALYSIS CENTER

815-637-7964 ROCKFORD IL YES NO01/04/199661107

143523 UNIVERSITY OF CHICAGO -

LAKEPARK

773-702-2153 CHICAGO IL NO NO05/25/200060615

143524 UNIVERSITY OF CHICAGO

HOSPITALS

773-702-2901 CHICAGO IL YES NO01/01/199160637

143525 DAVITA - WHITESIDE DIALYSIS 815-626-6317 STERLING IL NO NO03/31/200061081

143526 SILVER CROSS RENAL CENTER

MORRIS

815-942-2399 MORRIS IL NO NO05/05/200060450

143527 UNIVERSITY OF CHICAGO -

STONY ISLAND CENTER

773-834-4583 CHICAGO IL NO NO10/12/200060617

143528 OLNEY DIALYSIS CENTER 618-393-3423 OLNEY IL NO NO06/15/200162450

143529 BLESSING DIALYSIS CENTER

OF PITTSFIELD

217-285-5211 PITTSFIELD IL NO NO02/04/200262363

150003 DIALYSIS CENTER FOR

GREATER LAFAYETTE

765-423-3635 LAFAYETTE IN YES NO01/01/198047904

150023 UNION HOSPITAL 812-238-8769 TERRE HAUTE IN NO NO01/01/198047804

15003F VA MEDICAL CENTER RLR 317-554-4000 INDIANAPOLIS IN YES NO09/01/197746202


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

150042 DAVITA - VINCENNES DIALYSIS 812-882-2054 VINCENNES IN YES NO09/01/197247591

150049 DUNN MEMORIAL HOSPITAL 812-276-6123 BEDFORD IN YES NO01/01/198847421

150056 CLARIAN CENTER -

METHODIST CAMPUS

317-962-2226 INDIANAPOLIS IN YES YES01/29/1999152306 46202

150089 BALL MEMORIAL HOSPITAL 765-747-7302 MUNCIE IN YES NO06/11/1979152308 47303

152500 FMC - DIALYSIS INSTITUTE OF

INDIANA - INDIANAPOLIS

317-923-3452 INDIANAPOLIS IN YES NO10/01/198146208

152501 FMC - NORTHWEST INDIANA

DIALYSIS

219-885-5330 GARY IN YES NO10/16/198546402

152502 RCG - INDIANAPOLIS-EAST 317-353-3890 INDIANAPOLIS IN YES NO08/06/198646219

152503 FMC - OHIO VALLEY DIALYSIS

CENTER

812-425-5411 EVANSVILLE IN YES NO01/01/199147713

152504 FMC - SOUTHERN INDIANA 812-282-2042 JEFFERSONVILLE IN NO NO12/23/198647130

152507 DAVITA - BATESVILLE

DIALYSIS

812-934-4566 BATESVILLE IN YES NO08/04/198747006

152508 FMC - LAKE AVENUE DIALYSIS

CENTER

260-420-0266 FORT WAYNE IN NO NO08/07/198746805

152509 RCG - RICHMOND 765-962-2561 RICHMOND IN YES NO01/01/198847374


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


ANDERSON

765-643-3334 ANDERSON IN NO NO03/15/198846013

152511 DAVITA - LAWRENCEBURG

DIALYSIS,LLC

812-537-7575 LAWRENCEBURG IN YES NO04/28/198947025

152512 FMC - MARION COUNTY 317-787-7317 INDIANAPOLIS IN NO NO06/12/198946203

152514 DAVITA - MADISON 812-265-5227 MADISON IN NO NO09/01/199047250

152515 RCG - NORTHEAST INDIANA

KIDNEY CENTER - FORT

WAYNE

260-432-2422 FORT WAYNE IN YES NO01/01/197946804


KIDNEY CENTER -PD



KIDNEY CTR-MARION

765-662-2979 MARION IN YES NO01/01/198646950


KIDNEY CENTER - NEW HAVEN

260-749-9100 NEW HAVEN IN NO NO01/01/199046774


KIDNEY CENTER-WARSAW

574-269-9355 WARSAW IN NO NO01/12/198846580

152520 NEPHROLOGY INC -

MISHAWAKA

574-273-3676 MISHAWAKA IN YES NO01/01/199446545

152521 DAVITA - GARY 219-887-7119 GARY IN YES NO07/30/199246408

152522 DAVITA - HAMMOND 219-932-2119 HAMMOND IN YES NO07/20/199246320


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

152523 JASPER DIALYSIS 812-482-2320 JASPER IN NO NO08/10/199247546


NW INDIANAPOLIS

317-328-8966 INDIANAPOLIS IN NO NO03/30/199346278

152525 RCG - INDIANAPOLIS-NORTH 317-228-8016 INDIANAPOLIS IN YES NO02/01/199346260

152526 RCG - KOKOMO 765-453-3005 KOKOMO IN YES NO06/15/198746902

152527 DAVITA - VALPARAISO 219-531-1129 VALPARAISO IN YES NO03/30/199446383

152529 FMC - SCOTTSBURG 812-752-2294 SCOTTSBURG IN YES NO05/25/199447170

152530 NEPHROLOGY INC - ELKHART 574-294-4444 ELKHART IN NO NO09/09/199446517

152531 RCG - INDIANAPOLIS-WEST 317-484-4355 INDIANAPOLIS IN NO NO11/04/199446224

152532 DIALYSIS CENTER OF WABASH

VALLEY

812-238-8140 TERRE HAUTE IN YES NO01/13/199547804

152533 FMC - SOUTH ANTHONY

DIALYSIS CENTER


152534 RCG - INDIANAPOLIS-SOUTH 317-865-5852 INDIANAPOLIS IN YES NO10/25/199546227

152535 NEPHROLOGY INC - LA PORTE 219-324-4094 LA PORTE IN NO NO10/01/199546350


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

152536 NORTH EVANSVILLE DIALYSIS 812-401-1014 EVANSVILLE IN YES NO01/01/199647710

152537 FMCNA - ST ANTHONY

DIALYSIS CENTER

219-663-3995 CROWN POINT IN NO NO07/01/1996150126 46307

152538 FMC - TRI-COUNTIES DIALYSIS

CENTER

260-724-4830 DECATUR IN YES NO08/12/199646733

152539 FMCNA - QUAD COUNTIES

DIALYSIS CENTER

260-927-7010 AUBURN IN YES NO08/26/199646706

152541 FMC - MERRILLVILLE DIALYSIS

CENTER

219-791-1100 MERRILLVILLE IN YES NO08/30/1996153500 46410

152542 NEPHROLOGY INC -

BLACKTHORN

574-246-6700 SOUTH BEND IN NO NO02/03/199746628

152543 FMC - ST MARGARET DIALYSIS

CENTER

219-933-3208 HAMMOND IN YES NO11/20/1990150004 46320

152544 DCI - WISHARD 317-630-0856 INDIANAPOLIS IN NO NO08/12/199646202

152545 FMC BLUE RIVER VALLEY 317-398-8048 SHELBYVILLE IN NO NO01/10/199746176

152546 DAVITA - MICHIGAN CITY 219-878-8198 MICHIGAN CITY IN YES NO04/01/199746360

152547 DCI - INDIANAPOLIS 317-631-1200 INDIANAPOLIS IN YES NO06/13/199746222

152548 DCI - HENDRICKS COUNTY 317-745-5878 DANVILLE IN NO NO07/31/199746122


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

152549 DAVITA - MUNSTER 219-836-6129 MUNSTER IN NO NO06/20/199746321


KIDNEY CENTER - AUBURN

260-927-7130 AUBURN IN NO NO06/09/199746706

152551 RCG - SHELBYVILLE 317-398-8669 SHELBYVILLE IN NO NO08/01/199746176

152552 FMCNA - HENDRICKS COUNTY 317-718-8034 DANVILLE IN YES NO08/27/199746122

152553 FMC - MORGAN COUNTY 765-349-9942 MARTINSVILLE IN NO NO06/25/199746151

152554 FMC - FLOYD COUNTY 812-944-4326 NEW ALBANY IN NO NO05/30/199847150


NOBLESVILLE

317-770-0771 NOBLESVILLE IN YES NO06/26/199846060

152556 RCG - NOBLESVILLE 317-770-0890 NOBLESVILLE IN NO NO09/23/199846060

152558 RCG - COLUMBUS 812-375-5025 COLUMBUS IN YES NO09/01/1998150112 47201

152559 DCI - ANDERSON 765-642-2350 ANDERSON IN YES NO05/14/199946016

152560 RCG - MIDTOWN 317-924-4810 INDIANAPOLIS IN YES NO06/04/199946205

152561 DAVITA - EAST CHICAGO 219-397-7119 EAST CHICAGO IN NO NO06/23/199946312


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

152562 FMC - NEOMEDICA - MUNSTER 219-836-6931 MUNSTER IN YES NO11/10/199946321

152563 FMCNA - LAKE AVENUE HOME

DIALYSIS CENTER


152564 FMC - EAST CHICAGO DIALYSIS

CENTER

219-397-7775 EAST CHICAGO IN YES NO02/02/200046312

152565 FMCNA - PORTAGE DIALYSIS

CENTER

219-764-4363 PORTAGE IN YES NO01/01/200046368

152566 RCG - GREENFIELD 317-462-2474 GREENFIELD IN NO NO03/01/200046140

152567 RCG - SEYMOUR 812-524-4988 SEYMOUR IN NO NO04/03/200047274

152568 DAVITA - DAVIESS COUNTY

DIALYSIS

812-254-4995 WASHINGTON IN NO NO07/12/200047501

152569 EAST EVANSVILLE DIALYSIS 812-491-1630 EVANSVILLE IN YES NO01/01/199647714

152570 FMC - LOGANSPORT DIALYSIS

CENTER

574-735-5230 LOGANSPORT IN YES NO05/14/200146947

152571 KIDNEY CENTER OF TERRE

HAUTE LLC

812-238-8140 TERRE HAUTE IN NO NO01/01/1980150023 47804

152572 FMC - DIALYSIS SERVICES

GREENWOOD

317-883-3128 GREENWOOD IN NO NO07/12/200146143


SALEM

812-883-3918 SALEM IN NO NO11/16/200147167


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

152574 DAVITA - TELL CITY DIALYSIS

CENTER

812-547-7114 TELL CITY IN NO NO08/01/200147586

152575 FMCNA- DIALYSIS OF

HUNTINGTON

260-355-5025 HUNTINGTON IN NO NO12/19/200146750

152576 RCG - DUPONT 260-489-9925 FORT WAYNE IN NO NO03/15/200246825

152577 RCG - LINTON 812-847-7381 LINTON IN NO NO03/29/200147441

152578 BALL DIALYSIS - WINCHESTER 765-584-4800 WINCHESTER IN NO NO01/01/2002152308 47394

152579 RCG - BLOOMINGTON 812-333-3560 BLOOMINGTON IN YES NO07/15/1986152313 47403

152580 FMC DIALYSIS OF CENTRAL

FORT WAYNE

260-478-8265 FORT WAYNE IN NO NO06/10/200246809

152581 DAVITA - MERRILLVILLE

DIALYSIS

219-793-3903 MERRILLVILLE IN NO NO05/15/200246410

152583 RCG - HUNTINGTON 260-355-5051 HUNTINGTON IN NO NO06/24/200246750

152584 RCG - LOGANSPORT 574-739-9032 LOGANSPORT IN NO NO03/28/200346947

152585 RCG - SHADELAND STATION 317-578-8840 INDIANAPOLIS IN NO NO03/03/200346256

152586 RCG - CONNERSVILLE 765-827-7122 CONNERSVILLE IN NO NO09/24/200347331


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

152587 FMC - GREENVALLEY 812-941-1878 NEW ALBANY IN NO NO02/25/200447150

152588 RCG INDIANAPOLIS - EAST

HOME PROGRAM

317-357-7809 INDIANAPOLIS IN YES NO12/15/200346219

152589 NEW ALBANY DIALYSIS 812-542-2125 NEW ALBANY IN NO NO12/30/200447150

152590 FMC - MADISON 812-273-3713 MADISON IN NO NO02/07/200547250

153509 ST ELIZABETH DIALYSIS AT

CLINTON COUNTY

765-656-6337 FRANKFORT IN NO NO03/21/199446041

153510 CLARIAN IU - TRANSPLANT 317-274-4437 INDIANAPOLIS IN NO YES01/01/197446202

153511 RCG - SPENCER 812-829-9338 SPENCER IN YES NO09/03/199747460

153512 WHITE COUNTY SATELLITE

DIALYSIS UNIT

574-583-3366 MONTICELLO IN YES NO12/18/199847960

153514 FOREST RIDGE DIALYSIS

CENTER

765-593-3297 NEW CASTLE IN NO NO01/04/200047362

153515 CLARIAN HEALTH PARTNERS

ADULT DIALYSIS CENTER

317-920-0340 INDIANAPOLIS IN NO NO04/26/200246202

153516 MONTGOMERY COUNTY

DIALYSIS

765-359-9222 CRAWFORDSVILLE IN NO NO06/26/200247933

IN0006 RCG - SHADELAND STATION 317-578-8840 INDIANAPOLIS IN NO NO03/24/200346256


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

170017 SUSAN B. ALLEN DIALYSIS

CENTER

316-322-2454 EL DORADO KS NO NO10/19/1999172306 67042

170040 UNIVERSITY OF KANSAS

MEDICAL CENTER - DIALYSIS

913-588-8606 WESTWOOD KS YES YES08/29/1977172301 66205

170040 UNIVERSITY OF KANSAS

MEDICAL CENTER

913-588-8696 KANSAS CITY KS NO YES08/29/1977172301 66103

170122 VIA CHRISTI REGIONAL

MEDICAL CENTER

316-268-8589 WICHITA KS NO YES12/01/1986172303 67214

172501 JOHNSON COUNTY DIALYSIS 913-492-2204 LENEXA KS YES NO06/06/198318 66214

172502 SALINE COUNTY DIALYSIS -

SALINA

785-823-3646 SALINA KS YES NO06/17/198519 67402

172503 RENAL TREATMENT CENTERS -

WICHITA

316-263-3909 WICHITA KS YES NO07/01/198620 67214

172504 RENAL CARE GROUP - WICHITA 316-268-8696 WICHITA KS YES NO12/01/198621 67214

172505 RENAL CARE GROUP - DODGE

CITY

620-225-5710 DODGE CITY KS NO NO12/01/198622 67801

172506 RENAL CARE GROUP - HAYS 785-625-5003 HAYS KS NO NO12/01/198623 67601

172507 RENAL CARE GROUP

PITTSBURG

620-231-1004 PITTSBURG KS NO NO10/01/198624 66762

172508 KANSAS DIALYSIS SERVICES -

TOPEKA

785-234-4227 TOPEKA KS YES NO04/01/198725 66606


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


OVERLAND PARK

913-894-4110 OVERLAND PARK KS YES NO03/11/198826 66204


OTTAWA

785-242-2530 OTTAWA KS YES NO06/14/198827 66067


INDEPENDENCE

620-331-1611 INDEPENDENCE KS NO NO08/09/198880 67301


CHANUTE

620-431-1123 CHANUTE KS NO NO03/09/198989 66720

172514 GARDEN CITY DIALYSIS

CENTER

620-275-5880 GARDEN CITY KS NO NO10/25/198998 67846

172515 RENAL CARE GROUP - LIBERAL 620-624-4395 LIBERAL KS NO NO01/05/1990100 67901


CONCORDIA

785-243-3613 CONCORDIA KS NO NO09/18/1990171 66901


MANHATTAN

785-565-5950 MANHATTAN KS NO NO09/02/1992185 66502

172518 RENAL CARE GROUP - GREAT

BEND

620-792-2294 GREAT BEND KS NO NO01/12/1993190 67530

172519 EAST WICHITA DIALYSIS

CENTER

316-684-4320 WICHITA KS NO NO04/07/1993196 67214

172520 HUTCHINSON DIALYSIS, L L C 620-665-5228 HUTCHINSON KS NO NO06/25/1993197 67502


BETHANY

913-621-1287 KANSAS CITY KS YES NO08/16/1994208 66102


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

172522 LEAVENWORTH COUNTY

DIALYSIS LLC

913-651-1480 LEAVENWORTH KS YES NO05/23/1994205 66048

172523 WYANDOTTE COUNTY

DIALYSIS, L L C

913-287-7282 KANSAS CITY KS NO NO07/13/1995216 66102


LAWRENCE

785-843-3200 LAWRENCE KS YES NO01/19/1996221 66044


ARKANSAS CITY

620-442-2583 ARKANSAS CITY KS NO NO06/20/1996244 67005


WINFIELD

620-221-1410 WINFIELD KS NO NO09/04/1996247 67156

172527 DIALYSIS SPECIALISTS OF

TOPEKA, INC.

785-232-2889 TOPEKA KS YES NO10/09/1996249 66606

172528 RENAL CARE GROUP - EMPORIA 620-343-3680 EMPORIA KS NO NO03/21/1997269 66801

172529 NEWTON DIALYSIS CENTER 316-283-3995 NEWTON KS NO NO04/17/1997258 67114


PARSONS

620-421-1108 PARSONS KS NO NO05/29/1997259 67357

172531 RENAL CARE GROUP - NEWTON 316-284-4004 NEWTON KS NO NO07/17/1997279 67114

172532 BIO-MEDICAL APPLICATIONS

OF LEAWOOD

913-498-8178 LEAWOOD KS YES NO08/07/1997273 66211


DERBY

316-788-8289 DERBY KS NO NO08/27/1997274 67037


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


SABETHA

785-284-4010 SABETHA KS YES NO06/09/1998312 66534


JUNCTION CITY

785-238-8321 JUNCTION CITY KS NO NO06/11/1998311 66441


WYANDOTTE WEST

913-287-7020 KANSAS CITY KS NO NO03/11/1999332 66112

172537 PRATT DIALYSIS CENTER 620-672-2700 PRATT KS NO NO03/17/1999334 67124


ATCHISON

913-367-7933 ATCHISON KS NO NO09/01/1999456 66002

172539 HUTCHINSON CLINIC RENAL

DIALYSIS CENTER

620-513-3374 HUTCHINSON KS NO NO11/16/200067502

172540 RENAL CARE GROUP - WICHITA

WEST

316-729-9532 WICHITA KS NO NO09/05/200267212


OLATHE

913-390-0493 OLATHE KS NO NO11/19/200266061

172542 NE WICHITA DIALYSIS CENTER 316-636-6571 WICHITA KS NO NO01/23/200367226

172543 RENAL CARE GROUP- WICHITA

EAST

316-634-4676 WICHITA KS NO NO05/27/200467206

180017 T.J. SAMSON KIDNEY CARE 270-651-1712 GLASGOW KY NO NO07/15/200242141

180035 ST ELIZABETH HOSPITAL

MEDICAL CENTER

-COVINGTON

859-292-2400 COVINGTON KY YES NO12/09/198841014


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

180040 JEWISH HOSPITAL RENAL

DIALYSIS / ACUTE DIALYSIS

502-587-7468 LOUISVILLE KY YES YES02/14/199040202

18005F VA MEDICAL

CENTER-LEXINGTON

859-281-1495 LEXINGTON KY YES NO09/24/199940502

180067 UNIVERSITY OF KENTUCKY

MEDICAL CENTER-TRANSPLANT

DEPT

859-323-3535 LEXINGTON KY NO YES01/01/198040536

180088 KOSAIR CHILDRENS

HOSP/NORTON

502-629-9397 LOUISVILLE KY NO YES10/01/1968182309 40202

180093 RENAL DIALYSIS CENTER-TCF 270-824-4340 MADISONVILLE KY YES NO09/20/197842431

182501 UNIVERSITY OF LOUISVILLE

KIDNEY DISEASE PROGR

502-852-2575 LOUISVILLE KY YES NO09/01/197640202

182502 DCI - LEXINGTON 859-252-2771 LEXINGTON KY YES NO03/15/197540511

182503 FMC - LOUISVILLE 502-584-4302 LOUISVILLE KY NO NO11/08/198940202

182504 DAVITA - WOODLAND

DIALYSIS CENTER

270-769-9332 ELIZABETHTOWN KY YES NO09/01/197742701

182505 BOWLING GREEN KIDNEY

CENTER

270-782-2131 BOWLING GREEN KY YES NO08/16/197842104

182507 FMC - PRESTONSBURG 606-886-6389 PRESTONSBURG KY YES NO06/26/198641653

182508 DCI - CORBIN 606-523-3107 CORBIN KY YES NO01/19/197940701


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

182509 FMC - MOREHEAD 606-780-0970 MOREHEAD KY YES NO04/07/198040351

182512 DCI - SOUTHLAND 859-278-8035 LEXINGTON KY YES NO02/03/198640503

182513 DCI - DANVILLE 859-236-6598 DANVILLE KY NO NO07/13/198740422

182514 FMC - WEST LOUISVILLE 502-772-2736 LOUISVILLE KY NO NO05/30/198840211

182516 FMC - SOMERSET 606-678-8981 SOMERSET KY YES NO04/05/198942503

182517 FMC - HAZARD 606-439-9347 HAZARD KY YES NO06/23/198941701

182518 DAVITA - TAYLOR COUNTY

DIALYSIS

270-789-9410 CAMPBELLSVILLE KY NO NO04/04/199042718

182519 HOPKINSVILLE DIALYSIS 270-885-5775 HOPKINSVILLE KY YES NO09/01/197642240

182520 LEXINGTON CLINIC KIDNEY

CENTER

859-253-3252 LEXINGTON KY YES NO03/01/199140504


AUDUBON

502-637-7177 LOUISVILLE KY YES NO11/18/199140217

182523 FMC - SOUTH LOUISVILLE 502-449-9189 LOUISVILLE KY NO NO02/21/199240216

182524 FMC - ASHLAND 606-325-5526 ASHLAND KY YES NO05/04/199241101


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

182526 GLASGOW KIDNEY CENTER 270-651-1777 GLASGOW KY NO NO08/14/199242141

182527 FMC - EAST LOUISVILLE 502-239-9822 LOUISVILLE KY NO NO07/15/199440291

182529 CRESTVIEW HILLS DIALYSIS 859-341-1556 CRESTVIEW HILLS KY YES NO02/25/199441017

182530 DCI - FRANKFORT 502-223-3591 FRANKFORT KY NO NO06/27/199440601

182532 FMC - CENTRAL RICHMOND 859-626-6556 RICHMOND KY YES NO10/12/199440475

182533 DCI - RICHMOND 859-625-5093 RICHMOND KY NO NO04/15/199540475

182534 FMC - SUBURBAN 502-895-5221 LOUISVILLE KY YES NO08/14/199640207

182535 FMC - SHELBYVILLE 502-633-3633 SHELBYVILLE KY NO NO11/20/199640065

182536 FMC - CENTRAL CITY 270-754-4440 CENTRAL CITY KY YES NO11/21/199642330

182537 RCG - LOUISVILLE 502-561-1131 LOUISVILLE KY NO NO04/23/199740202

182538 EASTERN KENTUCKY DIALYSIS 606-432-2447 PIKEVILLE KY YES NO06/09/199741501

182539 FMC - BARBOURVILLE 606-545-5740 BARBOURVILLE KY YES NO08/21/199740906


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

182540 FMC - PIKEVILLE 606-432-2170 PIKEVILLE KY YES NO07/30/199741501

182541 DCI - MAYSVILLE 606-759-9768 MAYSVILLE KY NO NO11/17/199741056

182542 SOUTH HILL DIALYSIS 859-442-2553 SOUTHGATE KY NO NO01/12/199841071

182543 FMC - ROCKFORD LANE 502-448-8970 LOUISVILLE KY NO NO12/22/199740216

182544 GARDENSIDE DIALYSIS 270-830-0005 HENDERSON KY NO NO11/25/199842420

182547 DAVITA - OWENSBORO

DIALYSIS CENTER

270-926-6012 OWENSBORO KY YES NO08/03/200042303

182548 DAVITA - PAINTSVILLE

DIALYSIS

606-789-9110 HAGERHILL KY YES NO10/16/200141222

182549 CHRISTIAN COUNTY DIALYSIS 270-707-7070 HOPKINSVILLE KY NO NO11/01/200142240

182550 FMC - DANVILLE 859-236-6221 DANVILLE KY YES NO02/26/200240422

182551 RCG - KUTTAWA 270-388-8007 KUTTAWA KY NO NO05/23/1996182314 42055

182552 RCG - DIALYSIS OF PADUCAH 270-443-3021 PADUCAH KY YES NO02/06/1990182306 42003

182553 RCG - DIALYSIS OF MURRAY 270-759-9308 MURRAY KY NO NO01/13/1995182313 42071


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

182555 FMC - MT. STERLING 859-499-9063 MOUNT STERLING KY YES NO05/01/200240353

182556 RCG - LEXINGTON SOUTH 859-264-4777 LEXINGTON KY NO NO06/14/200240509

182557 KENTUCKY NEPHROLOGY 859-225-5459 LEXINGTON KY YES NO08/15/200240505

182558 RCG - KENTUCKY RENAL CARE

GROUP - LEXINGTON EAST

859-225-5492 LEXINGTON KY NO NO08/12/200240505

182559 RCG - SOUTH PADUCAH 270-442-2185 PADUCAH KY NO NO10/02/200242003

182560 FMC - PAINTSVILLE 606-789-9227 PAINTSVILLE KY NO NO10/07/200241240

182561 CALDWELL COUNTY DIALYSIS 270-365-5758 PRINCETON KY YES NO01/21/200342445

182562 FMC - GREENUP 606-473-3041 GREENUP KY NO NO03/06/2003KY0002 41144

182563 RCG - LEXINGTON NORTH 859-254-4067 LEXINGTON KY NO NO06/06/200340511

182564 LONDON DIALYSIS CLINIC 606-862-2888 LONDON KY YES NO06/06/200340741

182565 FMC - NA HARLAN 606-574-4000 HARLAN KY YES NO06/26/200340831

182566 DAVITA - WHITESBURG

DIALYSIS

606-633-3323 WHITESBURG KY YES NO03/01/200341858


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

182567 FMC-SOUTH CENTRAL

LOUISVILLE

502-968-8222 LOUISVILLE KY NO NO09/19/200340219

182568 BARDSTOWN DIALYSIS 502-350-0113 BARDSTOWN KY NO NO04/21/200440004

182569 NALCO, LLC 859-299-9337 LEXINGTON KY YES NO08/24/200440505

182570 DAVITA - LOUISVILLE DIALYSIS 502-937-7911 LOUISVILLE KY YES NO09/28/200440258

182571 FMC OF CYNTHIANA 859-235-5054 CYNTHIANA KY YES NO10/22/200441031

182572 DAVITA - LAGRANGE DIALYSIS

CENTER

502-222-2552 LA GRANGE KY NO NO06/08/200540031

182574 LEITCHFIELD DIALYSIS 270-230-0015 LEITCHFIELD KY NO NO05/25/200542754


OLDHAM COUNTY

502-225-5622 LA GRANGE KY NO NO08/24/200540031

183502 RCG - DIALYSIS OF MAYFIELD 270-247-7729 MAYFIELD KY NO NO05/23/1996182315 42066

190006 UNIVERSITY MEDICAL CENTER

- TRANSPLANT

337-261-1600 LAFAYETTE LA NO YES12/08/2005192327 70596

190036 OCHSNER MULTI-ORGAN

TRANSPLANT

504-842-2392 NEW ORLEANS LA NO YES06/25/1993192318 70121

190048 LADY OF THE SEA DIALYSIS

CENTER

985-632-2490 CUT OFF LA NO NO04/06/1992192322 70345


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

190079 ST CHARLES PARISH HOSPITAL

DIALYSIS CENTER

985-785-5368 LULING LA NO NO05/17/2004192326 70070

190098 LSU HEALTH SCIENCES

CTR-DIALYSIS-SHREVEPORT

318-675-5638 SHREVEPORT LA NO YES08/31/1977192307 71130

190098 LSU HEALTH SCIENCE

CTR-TRANSPLANT-SHREVEPOR

T


190111 WILLIS KNIGHTON MEDICAL

CTR-DIALYSIS


190111 WILLIS KNIGHTON MEDICAL

CTR-TRANSPLANT


190176 TULANE UNIVERSITY

HOSPITAL-TRANSPLANT


192501 FMCNA-BATON ROUGE 225-927-7331 BATON ROUGE LA NO NO08/31/197770806

192503 FMCNA-ALEXANDRIA 318-487-7106 ALEXANDRIA LA YES NO08/31/197771301

192504 FMCNA-WEST LAFAYETTE 337-984-4729 LAFAYETTE LA YES NO08/31/197770506

192505 FMCNA-FLORIDA PARISH

KIDNEY CENTER

985-345-5562 HAMMOND LA YES NO08/31/197770403

192507 DAVITA-WESTBANK CHRONIC

RENAL CENTER

504-366-6080 NEW ORLEANS LA YES NO01/19/197870131

192509 RCG-HOUMA & BAYOU AREA 985-868-8818 HOUMA LA NO NO11/01/197870363


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

192510 FMCNA-NORTHEAST

LOUISIANA DIALYSIS CENTER

318-322-2756 MONROE LA YES NO02/10/198071201

192511 FMCNA-METAIRIE 504-455-5553 METAIRIE LA YES NO02/22/198070006

192512 FMCNA-SHREVEPORT

REGIONAL

318-227-7976 SHREVEPORT LA YES NO02/20/198071101

192518 FMCNA-OPELOUSAS 337-948-8155 OPELOUSAS LA YES NO09/02/198170570

192521 FMCNA-MARRERO 504-348-8184 MARRERO LA YES NO01/06/198270072

192522 FMCNA-NEW IBERIA 337-364-4118 NEW IBERIA LA YES NO08/25/198270563

192524 FMCNA-J H LEE KIDNEY

CENTER

225-766-6504 BATON ROUGE LA YES NO06/15/198270808

192525 FMCNA-NATCHITOCHES

DIALYSIS

318-352-2196 NATCHITOCHES LA NO NO06/06/198271457

192530 FMCNA-DIALYSIS CENTER OF

SHREVEPORT

318-869-9301 SHREVEPORT LA NO NO07/08/198371106

192531 RCG-OCHSNER- NEW ORLEANS 504-842-2352 NEW ORLEANS LA YES NO11/10/198370121

192532 FMCNA-BOSSIER REGIONAL

DIALYSIS CENTER

318-746-6844 BOSSIER CITY LA NO NO03/28/198471111

192534 GAMBRO HEALTHCARE-KENNER 504-469-9279 KENNER LA YES NO01/16/198570065


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

192535 RCG-THIBODAUX 985-448-8252 THIBODAUX LA YES NO04/02/198570301

192538 FMCNA-CROWLEY 337-783-3001 CROWLEY LA NO NO02/21/198670526

192539 FMCNA-NORTH BATON

ROUGE-AIRPORT

225-774-4416 BATON ROUGE LA NO NO08/20/198670811

192540 DAVITA-BOGALUSA KIDNEY

CARE

985-735-5781 BOGALUSA LA YES NO11/12/198670427

192541 FMCNA-MINDEN DIALYSIS 318-371-1153 MINDEN LA NO NO12/05/198671055

192543 LAPLACE DIALYSIS CENTER 985-536-6786 LA PLACE LA YES NO05/12/198770068

192544 FMCNA-PONCHARTRAIN

KIDNEY CENTER

985-893-3726 COVINGTON LA YES NO07/27/198770433

192548 MORGAN CITY DIALYSIS

CENTER

985-385-5421 MORGAN CITY LA NO NO12/03/198770380

192551 GAMBRO

HEALTHCARE-GONZALES

225-647-7119 GONZALES LA YES NO06/24/198870737

192552 FMCNA-HOUMA 985-868-8098 HOUMA LA YES NO06/27/198870360

192555 FMCNA-BUNKIE 318-346-6634 BUNKIE LA NO NO01/04/198971322

192556 DAVITA-SLIDELL KIDNEY CARE 985-643-3747 SLIDELL LA YES NO06/07/198970458


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

192557 FMCNA-AMITE 985-748-8815 AMITE LA NO NO05/22/198970422

192558 FMCNA-WEST BATON ROUGE 225-383-3899 BATON ROUGE LA NO NO08/01/198970806

192560 FMCNA-ABBEVILLE 337-893-3757 ABBEVILLE LA NO NO05/30/199070510

192562 FMCNA-NORTH SHREVEPORT

DIALYSIS


192563 RCG-FERRIDAY 318-757-7831 FERRIDAY LA YES NO11/21/199071334

192564 FMCNA-DELHI DIALYSIS

CENTER

318-878-8907 DELHI LA NO NO11/16/199071232

192565 FMCNA-QUALITY CARE

DIALYSIS-HAMMOND

985-345-5054 HAMMOND LA NO NO12/27/199070403

192566 FMCNA-EUNICE 337-550-0658 EUNICE LA NO NO05/08/199170535

192568 FMCNA-WESTPORT 225-343-3575 PORT ALLEN LA NO NO10/08/199170767

192572 GAMBRO

HEALTHCARE-DONALDSONVILL

E

225-473-3113 DONALDSONVILLE LA YES NO04/23/199270346

192573 RCG-DELTA 318-633-3966 DELTA LA YES NO07/17/199271233

192574 FMCNA-THIBODAUX 985-448-8354 THIBODAUX LA YES NO07/22/199270301


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

192577 FMCNA-PINEVILLE 318-443-3713 PINEVILLE LA NO NO12/03/199371360

192578 RACELAND DIALYSIS CENTER 985-537-7696 RACELAND LA NO NO01/26/199470394

192579 FMCNA-SOUTHWEST

SHREVEPORT


192580 FMCNA-NORTH LAFAYETTE 337-234-4008 LAFAYETTE LA NO NO04/04/199470501


UPTOWN

504-897-7853 NEW ORLEANS LA YES NO03/14/199470115

192582 FMCNA-OUACHITA DIALYSIS 318-387-7274 WEST MONROE LA NO NO05/10/199471291

192584 DCI-WESTBANK-GRETNA 504-391-1957 GRETNA LA YES NO06/20/199470056

192586 DCI-SHREVEPORT 318-226-6102 SHREVEPORT LA YES NO09/20/199471103

192587 FMCNA-FRANKLIN 337-828-8474 FRANKLIN LA NO NO10/21/199470538

192588 LAKE CHARLES DIALYSIS

CENTER

337-478-8958 LAKE CHARLES LA YES NO11/22/199470601

192589 FMCNA-PICARDY KIDNEY

CENTER


192592 FMCNA-ZACHARY CROSSROAD 225-654-4145 ZACHARY LA NO NO02/01/199670791


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

192593 VACHERIE DIALYSIS CENTER 225-265-5903 VACHERIE LA NO NO05/24/199670090

192594 FMCNA-BASTROP DIALYSIS

CENTER

318-281-1818 BASTROP LA NO NO02/29/199671220

192597 GAMBRO HEALTHCARE-LAKE

CHARLES SOUTHWEST

337-494-4133 LAKE CHARLES LA YES NO03/11/199670601

192598 GAMBRO

HEALTHCARE-DERIDDER

337-462-2095 DERIDDER LA NO NO03/11/199670634

192599 DAVITA-KENNER REG DIALYSIS 504-471-1093 KENNER LA YES NO05/29/199670065

192601 FMCNA-WINNFIELD 318-648-8122 WINNFIELD LA YES NO09/20/199671483

192602 FMCNA-NEW ROADS 225-638-8739 NEW ROADS LA NO NO09/12/199670760

192603 FMCNA-JENNINGS 337-824-4535 JENNINGS LA NO NO09/25/199670546

192604 FMCNA-WINNSBORO 318-435-5351 WINNSBORO LA NO NO11/26/199671295

192605 FMCNA-DESOTO DIALYSIS 318-871-1870 MANSFIELD LA NO NO02/04/199771052

192606 FMCNA-PLAQUEMINE 225-687-7910 PLAQUEMINE LA NO NO07/02/199770764

192609 FMCNA-OAK GROVE 318-428-8138 OAK GROVE LA NO NO06/10/199871263


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

192610 FMCNA-AIRLINE 225-357-7905 BATON ROUGE LA NO NO06/24/199870805

192611 FMCNA-EAST NATCHITOCHES

DIALYSIS

318-354-4117 NATCHITOCHES LA NO NO08/24/199871458

192612 GAMBRO

HEALTHCARE-SULPHUR

337-626-6077 SULPHUR LA NO NO09/14/199870664

192613 DAVITA-DIALYSIS SYSTEMS OF

COVINGTON

985-875-5191 COVINGTON LA YES NO10/29/199870433

192614 FMCNA-SOUTH ALEXANDRIA 318-487-7833 ALEXANDRIA LA NO NO01/27/199971301

192615 DAVITA-WASHINGTON PARISH

DIALYSIS

985-795-5111 FRANKLINTON LA YES NO02/22/199970438

192616 RCG-BATON ROUGE 225-226-6144 BATON ROUGE LA NO NO03/01/199970816

192617 DCI-EUNICE 337-457-7000 EUNICE LA YES NO03/18/199970535

192618 FMCNA-VILLE PLATTE 337-363-3127 VILLE PLATTE LA NO NO05/01/199970586

192621 GAMBRO

HEALTHCARE-MONROE

318-651-1754 MONROE LA YES NO07/02/199971201

192623 FMCNA-CALDWELL PARISH 318-649-9211 COLUMBIA LA NO NO10/29/199971418

192626 DAVITA-DIALYSIS SYSTEMS OF

HAMMOND

985-386-6530 HAMMOND LA YES NO09/23/199970403


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

192627 DAVITA-MONROE NORTH 318-699-9000 MONROE LA NO NO10/08/199971203

192628 GAMBRO

HEALTHCARE-FARMERVILLE

318-368-8107 FARMERVILLE LA YES NO08/12/199971241

192630 FMCNA-LINCOLN KIDNEY

CENTER

318-251-1373 RUSTON LA NO NO12/20/199971270

192631 FMCNA-SOUTH SHREVEPORT 318-868-8832 SHREVEPORT LA NO NO01/19/200071106

192632 FMCNA-NORTH BOULEVARD 225-387-7577 BATON ROUGE LA NO NO02/02/200070806

192633 FMCNA-FARMERVILLE 318-368-8333 FARMERVILLE LA NO NO02/07/200071241

192634 GAMBRO HEALTHCARE-LAKE

CHARLES SOUTH

337-562-2202 LAKE CHARLES LA NO NO04/27/200070607

192635 FMCNA-MONROE 318-398-8418 MONROE LA NO NO05/12/200071202

192636 KIDNEY CARE OF

ACADIANA-NEW IBERIA

337-367-7399 NEW IBERIA LA NO NO08/03/200070560

192637 FMCNA-DIALYSIS SERVICES

AVONDALE

504-342-2777 AVONDALE LA NO NO08/17/200070094

192638 FMCNA-EAST MINDEN 318-371-1940 MINDEN LA NO NO08/22/200071058

192640 FMCNA-KENTWOOD 985-229-9801 KENTWOOD LA NO NO10/27/200070444


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

192641 FMCNA-COUSHATTA 318-932-2808 COUSHATTA LA NO NO12/18/200071019

192643 FMCNA-BREAUX BRIDGE 337-332-2681 BREAUX BRIDGE LA NO NO03/02/200170517

192644 FMCNA-ASCENSION 225-622-2068 PRAIRIEVILLE LA NO NO03/01/200170769

192646 DAVITA-INDEPENDENCE RENAL

CENTER

985-878-8190 INDEPENDENCE LA YES NO05/02/200170443

192647 FMCNA-MADISON PARISH 318-574-4080 TALLULAH LA NO NO05/11/200171282

192649 FMCNA-SUNSET 337-662-2370 SUNSET LA NO NO12/05/200170584

192650 DCI-EAST SHREVEPORT 318-861-1505 SHREVEPORT LA YES NO01/23/200271105

192651 KIDNEY CARE OF

ACADIANA-LAFAYETTE

337-231-1551 LAFAYETTE LA NO NO03/08/200270506

192652 FMCNA-FELICIANAS DIALYSIS

CENTER

225-634-4273 JACKSON LA NO NO04/10/200270748

192653 RCG-ST CHARLES PARISH 504-712-2545 SAINT ROSE LA NO NO04/09/200270087

192654 GAMBRO

HEALTHCARE-MONROE

JACKSON ST

318-327-7440 MONROE LA NO NO07/29/200271201

192656 DCI-CROWLEY 337-788-8199 CROWLEY LA YES NO05/16/200370526


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

192657 FMCNA DIALYSIS

SERVICES-MAMOU

337-468-8224 MAMOU LA NO NO06/26/200370554

192658 FMCNA-WEST SHREVEPORT 318-621-1075 SHREVEPORT LA NO NO06/27/200371119

192659 FMCNA - LEESVILLE DIALYSIS 337-392-2512 LEESVILLE LA YES NO01/23/200471446

192660 RIVERSIDE KIDNEY CENTER 985-795-5413 FRANKLINTON LA YES NO11/01/200370438

192662 DCI - HOMER 318-927-7599 HOMER LA YES NO04/28/200471040

192663 FMCNA-HOMER 318-927-7898 HOMER LA NO NO04/28/200471040

192665 KIDNEY TREATMENT OPTIONS

CENTER OF OPELOUSAS

337-594-4853 OPELOUSAS LA YES NO05/25/200470570

192666 DAVITA-SOUTHEAST:

NORTHSHORE KIDNEY CENTER

985-690-0601 SLIDELL LA NO NO11/05/200470461

192668 DAVITA-TRINITY KIDNEY CARE 985-661-1955 SLIDELL LA YES NO12/10/200470458

192669 DCI-NORTH SHREVEPORT 318-220-0701 SHREVEPORT LA NO NO02/07/200571107

192670 RCG - WESTBANK 504-340-0857 MARRERO LA NO NO01/28/200570072

192671 FMCNA - DIALYSIS SERVICES

OF BON CARRE'



Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

192672 FMCNA - MORGAN CITY 985-385-5333 MORGAN CITY LA NO NO04/06/200570380

192674 RENAL SOUTH OF ST TAMMANY 985-792-2533 MADISONVILLE LA YES NO05/26/200570447

192675 DC I- PERITONEAL DIALYSIS 318-673-3825 SHREVEPORT LA YES NO05/26/200571104

192676 MOREHOUSE PARISH DIALYSIS

CTR, LLC

318-281-1372 BASTROP LA YES NO09/09/200571220

192677 RICHARDSON DIALYSIS, LLP 318-728-8980 RAYVILLE LA NO NO09/26/200571269

192678 DAVITA - METAIRIE 504-731-1196 METAIRIE LA YES NO01/04/200670003

193300 CHILDRENS

HOSPITAL-TRANSPLANT


220028 SAINT VINCENT'S HOSPITAL 508-363-3946 WORCESTER MA YES NO11/29/1991222319 01608

220031 UNIVERSITY HOSPITAL/B.U.

MEDICAL CENTER

-TRANSPLANT

617-638-8843 BOSTON MA NO YES09/01/197702118

220036 SAINT ELIZABETH'S MEDICAL

CENTER OF BOSTON

617-789-9259 BRIGHTON MA YES NO08/05/1977222303 02135

220046 BERKSHIRE MEDICAL CENTER 413-447-7306 PITTSFIELD MA YES NO01/24/1978222305 01201

220071 MASSACHUSETTS GENERAL


617-724-4861 BOSTON MA NO YES08/31/1977222306 02114


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

220071 MASSACHUSETTS GENERAL

HOSPITAL CAPD UNIT

617-720-0131 BOSTON MA YES YES08/31/1977222306 02114

220077 BAYSTATE MEDICAL CENTER -

TRANSPLANT

413-787-7530 SPRINGFIELD MA NO YES02/06/1989222307 01107

220081 NANTUCKET COTTAGE

HOSPITAL

508-228-8120 NANTUCKET MA NO NO08/05/1977222315 02554

220082 SAINTS MEMORIAL MEDICAL

CTR/MERRIMACK VALLEY

DIALYSIS - MAI

978-934-4855 LOWELL MA NO NO08/05/1977222304 01852

220086 BETH ISRAEL DEACONESS

MEDICAL CENTER -

TRANSPLANT

617-632-2970 BOSTON MA NO YES09/01/197702215

22010F VA MEDICAL CENTER - BOSTON 857-364-4461 BOSTON MA NO NO01/01/196702130

220110 BRIGHAM AND WOMEN'S

HOSPITAL

617-732-2613 BOSTON MA YES YES08/05/1977222309 02115

220110 BRIGHAM AND WOMEN'S


617-732-2686 BOSTON MA NO YES08/05/1977222309 02115

220116 NEW ENGLAND MEDICAL

CENTER

617-636-6797 BOSTON MA NO YES10/07/198602111

220116 NEW ENGLAND MEDICAL

CENTER - TRANSPLANT

617-636-6559 BOSTON MA NO YES10/07/198602111

220123 MARTHA'S VINEYARD HOSPITAL 508-693-3041 OAK BLUFFS MA NO NO12/18/1987222318 02557

220163 U-MASS MEMORIAL HEALTH

CARE SYSTEMS

508-856-6381 WORCESTER MA YES YES12/12/1989222316 01655


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

220163 U-MASS MEMORIAL HEALTH

CARE SYSTEMS - TRANSPLANT

508-856-6808 WORCESTER MA NO YES12/12/198901655

220171 LAHEY CLINIC - TRANSPLANT 781-744-4300 BURLINGTON MA NO YES02/21/198401805

222006 LEMUEL SHATTUCK HOSPITAL 617-971-1347 JAMAICA PLAIN MA NO NO06/28/1994222320 02130

222500 KIDNEY CENTER 617-739-9300 BOSTON MA YES NO08/05/197702215

222501 CAPE COD ARTIFICIAL KIDNEY

CENTER (BMA CAPE COD)

508-362-2453 YARMOUTH MA YES NO08/15/197702675

222502 WESTERN MASS. KIDNEY

CENTER (BMA SPRINGFIELD)

413-739-9475 SPRINGFIELD MA NO NO08/10/197701103

222503 SOUTHEASTERN

MASSACHUSETTS DIALYSIS

CLINIC

508-994-4969 NORTH

DARTMOUTH

MA YES NO05/19/197902747

222504 WEST SUBURBAN ARTIFICIAL

KIDNEY CENTER (BMA

FRAMINGHAM)

508-879-9414 FRAMINGHAM MA NO NO05/27/198001701

222505 BROCKTON DIALYSIS CENTER

(BMA OF MASSACHUSETTS)

508-586-6279 BROCKTON MA YES NO03/16/198102301

222506 BOSTON DIALYSIS CENTER

(BMA BOSTON)

617-298-8247 DORCHESTER MA NO NO01/01/198302124

222507 MEDFORD DIALYSIS CENTER

(BMA MEDFORD)

781-396-6928 MEDFORD MA YES NO07/24/198502155

222508 DIALYSIS CLINIC, INC. (DCI

BOSTON)

617-636-6638 BOSTON MA YES NO09/29/198602111


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

222510 PLYMOUTH DIALYSIS 508-747-7544 PLYMOUTH MA YES NO02/26/198802360

222511 WESTWOOD DIALYSIS CENTER

(BMA WESTWOOD)

781-326-6998 WESTWOOD MA NO NO12/05/198802090

222512 NORTH SUBURBAN DIALYSIS

CENTER (BMA ESSEX COUNTY)

781-233-3287 SAUGUS MA YES NO10/22/199001906

222513 BMA OF CHICOPEE 413-535-5252 CHICOPEE MA NO NO01/17/199101013

222515 SOUTH SUBURBAN DIALYSIS

FACILITY

617-847-7170 QUINCY MA NO NO04/10/199102169

222516 ARTIFICIAL KIDNEY CENTER OF

FALL RIVER (BMA FALL RIVER)

508-677-7491 FALL RIVER MA YES NO08/13/199102720


WEYMOUTH

781-331-1770 WEYMOUTH MA YES NO08/13/199102189

222518 METRO WEST ARTIFICIAL

KIDNEY CENTER

781-736-6015 WALTHAM MA NO NO10/09/199102451

222519 QUALITY CARE DIALYSIS

CENTER

781-331-1410 WEYMOUTH MA YES NO04/10/199202190


WOBURN

781-935-5770 WOBURN MA YES NO05/04/199201801

222521 UNIVERSITY DIALYSIS CENTER

(BMA OF SHREWSBURY)

508-753-3088 SHREWSBURY MA YES NO04/10/199201545

222523 GODDARD BROCKTON KIDNEY

CENTER

781-341-1855 STOUGHTON MA YES NO12/07/199202072


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

222524 FMC SERVICES OF STONEHAM 781-279-9245 STONEHAM MA YES NO12/15/199202180

222525 MARY ELIZA MAHONEY

DIALYSIS CENTER (BMA OF

MASSACHUSETTS)

617-445-5998 ROXBURY MA NO NO04/23/199302119

222526 BOSTON DIALYSIS 617-859-9700 ROXBURY MA YES NO06/23/199302118

222529 BROOKLINE DIALYSIS 617-734-4779 BROOKLINE MA YES NO10/17/199402445

222530 NEW BEDFORD DIALYSIS 508-984-4770 NEW BEDFORD MA YES NO01/06/199502740

222532 RENEX DIALYSIS CLINIC OF

AMESBURY, INC.

978-388-8710 AMESBURY MA NO NO05/19/199501913

222533 NORTHEAST CAMBRIDGE

DIALYSIS

617-547-7770 CAMBRIDGE MA YES NO07/10/199502138

222534 WELLESLEY DIALYSIS 781-431-1141 WELLESLEY MA YES NO07/14/199502481

222535 EAST SPRINGFIELD DIALYSIS

(BMA OF MASSACHUSETTS)

413-781-1885 SPRINGFIELD MA NO NO06/07/199601104

222536 PHYSICIANS DIALYSIS, INC. -

FITCHBURG

978-343-3410 FITCHBURG MA YES NO10/02/199601420

222537 HAMPSHIRE COUNTY DIALYSIS

CENTER

413-586-6798 NORTHAMPTON MA NO NO11/12/199601060

222538 PIONEER VALLEY DIALYSIS

CENTER

413-750-0340 WEST SPRINGFIELD MA YES NO11/27/199601089


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

222539 YANKEE FAMILY DIALYSIS

CENTER

413-773-3000 GREENFIELD MA YES NO12/10/199601301

222542 MALDEN DIALYSIS 781-322-2717 MALDEN MA YES NO03/28/199702148

222543 SALEM NORTHEAST DIALYSIS 978-744-4366 SALEM MA YES NO07/11/199701970

222544 TAUNTON KIDNEY CENTER 508-880-0088 TAUNTON MA YES NO08/01/199702780


NORTH ANDOVER, INC.

978-975-5111 NORTH ANDOVER MA YES NO09/22/199701845

222546 PEABODY DIALYSIS CENTER 978-532-2766 PEABODY MA YES NO04/08/199801960

222547 HYDE PARK DIALYSIS CENTER 617-361-1490 HYDE PARK MA NO NO04/24/199802136

222548 NORWOOD DIALYSIS CENTER 781-762-2154 NORWOOD MA YES NO11/23/199802062

222549 DCI BALL SQUARE 617-616-6360 SOMERVILLE MA YES NO01/26/199902145

222550 NORTH SHORE REGIONAL

DIALYSIS CENTER

978-921-1205 BEVERLY MA YES NO05/27/1999222302 01915


BLACKSTONE VALLEY

508-634-4433 MILFORD MA YES NO11/30/199901757

222552 DCI BRIGHAM/FAULKNER 617-983-3447 JAMAICA PLAIN MA YES NO06/04/200102130


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


MASHPEE

508-539-9708 MASHPEE MA YES NO06/01/2001222541 02649

222554 DCI BILLERICA 978-294-4100 NORTH BILLERICA MA NO NO11/14/200101862

222555 LUDLOW DIALYSIS CENTER 413-589-9140 LUDLOW MA NO NO04/09/200201056

222556 MIDDLESEX COUNTY DIALYSIS 781-744-4802 BURLINGTON MA YES NO06/01/200201805


PALMER

413-284-4070 PALMER MA NO NO01/28/200301069

222558 BOSTON LONGWOOD DIALYSIS 617-667-7321 BOSTON MA YES NO10/02/200202215

222559 DCI WALDEN POND 978-369-9168 CONCORD MA YES NO06/09/200301742

222560 SPRINGFIELD DIALYSIS

CENTER

413-736-6960 SPRINGFIELD MA YES NO07/15/200301103

222561 SOUTH COUNTY DIALYSIS

CENTER

508-943-3399 WEBSTER MA YES NO09/03/200301570

222562 FMC OF NEWBURYPORT 978-465-5703 NEWBURYPORT MA YES NO04/14/200401950

222563 PERSONAL DIALYSIS, INC. 617-783-3380 BRIGHTON MA YES NO02/02/200502135

222564 PDI - WORCESTER 508-421-1953 WORCESTER MA YES NO03/10/200501605


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


METHUEN

978-975-5311 METHUEN MA YES NO05/05/200501844

222566 DIALYSIS CENTER OF FALL

RIVER

508-676-6011 FALL RIVER MA YES NO08/02/200502720


PLYMOUTH CORDAGE

508-732-2927 PLYMOUTH MA YES NO01/20/200602360

223302 CHILDREN'S HOSPITAL

BOSTON

617-355-5763 BOSTON MA YES YES08/05/1977222312 02115

223302 CHILDREN'S HOSPITAL

BOSTON - TRANSPLANT

617-355-5763 BOSTON MA NO YES08/05/197702115



DIALYSIS - MET

978-686-6990 METHUEN MA YES NO05/13/198501844



DIALYSIS - LOW

978-322-2590 LOWELL MA YES NO11/30/200101854

223504 UMASS MEMORIAL MEDICAL

CENTER ESRD

508-334-4659 WORCESTER MA NO NO03/03/2004222316 01605

210002 UNIVERSITY OF MARYLAND

MEDICAL SYSTEM

410-328-8630 BALTIMORE MD NO YES09/01/197721201

210002 UNIVERSITY OF MARYLAND

MEDICAL SYSTEM -

TRANSPLANT PROG


210004 HOLY CROSS HOSPITAL 301-754-4756 SILVER SPRING MD YES NO01/01/198120910

210009 JOHNS HOPKINS OUTPATIENT

CARE (JHOC)

410-955-5442 BALTIMORE MD YES YES09/01/197721287


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

210009 JOHNS HOPKINS HOSPITAL -

TRANSPLANT PROG


210013 BON SECOURS HOSPITAL 410-362-2309 BALTIMORE MD YES NO05/01/198021223

210024 UNION MEMORIAL HOSPITAL

DIALYSIS UNIT

410-554-4453 BALTIMORE MD NO NO04/04/200021218

210025 MEMORIAL HOSPITAL MEDICAL

CENTER

301-723-3404 CUMBERLAND MD NO NO01/01/197221502

210056 GOOD SAMARITAN HOSPITAL 410-532-2409 BALTIMORE MD YES NO09/01/197721239

212003 DEERS HEAD CENTER 410-543-3408 SALISBURY MD YES NO09/01/197721801

212501 BMA - CAMP SPRINGS 301-423-3565 SUITLAND MD NO NO09/01/197720746

212503 BMA - BETHESDA 301-652-2255 BETHESDA MD NO NO09/01/197720817

212504 BMA - BALTIMORE 410-235-5176 BALTIMORE MD NO NO09/01/197721211

212507 WESTERN MARYLAND CENTER 301-791-1443 HAGERSTOWN MD YES NO09/01/197721740

212510 BMA - LEONARDTOWN 301-870-0217 LEONARDTOWN MD YES NO01/01/198120650

212511 DA VITA - ROCKVILLE 301-424-4363 ROCKVILLE MD NO NO03/01/198020850


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

212512 DAVITA - EASTON 410-822-2911 EASTON MD YES NO01/01/198121601

212513 IDF - CHESTNUT SQUARE

DIALYSIS CENTER

410-366-6540 BALTIMORE MD YES NO04/01/198121211

212515 IDF - PARKVIEW CENTER 410-468-8090 BALTIMORE MD YES NO02/01/198221201

212516 DAVITA - HOWARD COUNTY 410-997-7424 COLUMBIA MD NO NO10/01/198221044

212520 TOTAL RENAL CARE - BERLIN 410-641-1474 BERLIN MD YES NO10/01/198521811

212522 DOWNTOWN DIALYSIS CENTER 410-383-3345 BALTIMORE MD YES NO10/01/198621201

212523 GAMBRO HEALTHCARE - WHITE

SQUARE


212525 CHARING CROSS DIALYSIS LLC 410-747-7935 CATONSVILLE MD YES NO02/01/198721228

212528 DAVITA - CATONSVILLE 410-242-2776 BALTIMORE MD YES NO06/01/198721227

212529 RAI - BALTIMORE-BELTSVILLE 301-595-5026 BELTSVILLE MD NO NO06/01/198720705

212530 KIDNEY CARE OF LARGO 301-925-5410 LARGO MD YES NO07/01/198720774

212531 FMC - GREATER BALTIMORE 410-560-0149 LUTHERVILLE MD YES NO02/01/198821093


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

212534 MEADOW DIALYSIS - OAK HILL 301-797-7231 HAGERSTOWN MD YES NO07/01/198921742

212535 DAVITA - MARYLAND (BOND

ST)


212536 RAI - SILVER HILL 301-967-7989 DISTRICT HEIGHTS MD NO NO08/01/199020747

212537 CARROLL COUNTY DIALYSIS

FACILITY

410-876-6706 WESTMINSTER MD NO NO09/01/199021158

212538 KIDNEY CARE OF LAUREL 301-470-0333 LAUREL MD NO NO09/01/199020707

212539 QUALITY CARE DIALYSIS -

SOUTHERN MARYLAND

301-449-9416 CAMP SPRINGS MD YES NO10/01/199020748

212541 BMA - LA PLATA 301-934-4571 LA PLATA MD YES NO01/01/199120646

212542 DAVITA DIALYSIS - MERCY 410-332-2112 BALTIMORE MD YES NO06/01/198721202

212543 BERTHA SIRK DIALYSIS

CENTER


212544 IDF - ARUNDEL CENTER 410-768-8572 GLEN BURNIE MD NO NO12/01/199121061

212545 DAVITA - LANDOVER 301-322-2286 LARGO MD YES NO04/01/199220774

212546 BALTIMORE COUNTY DIALYSIS

FACILITY

410-521-1785 RANDALLSTOWN MD NO NO05/01/199221133


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

212548 IDF - ALLEGANY CENTER 301-724-4035 CUMBERLAND MD YES NO07/01/199221502

212549 IDF - CALVERT CENTER 410-535-5630 PRINCE FREDERICK MD YES NO10/01/199220678

212551 GREENSPRING DIALYSIS

CENTER


212552 RENAL CARE & MANAGEMENT 301-731-1088 LANHAM MD YES NO09/01/199320706

212555 DAVITA - COTTAGE CITY 301-277-7613 COTTAGE CITY MD NO NO11/01/199420722

212556 DAVITA - HARBOR PARK

DIALYSIS


212557 BMA - SOUTH ANNAPOLIS 301-261-1105 ANNAPOLIS MD YES NO03/01/199521401

212560 IDF - TRINITY CENTER

DIALYSIS

410-750-0842 ELLICOTT CITY MD NO NO05/25/199521043

212563 DAVITA - SOUTHERN

MARYLAND

301-856-6660 CLINTON MD YES NO02/05/199620735

212564 DAVITA - LAKESIDE 301-856-6655 CLINTON MD YES NO12/13/199520735


CHESTERTOWN

410-778-8955 CHESTERTOWN MD NO NO12/19/199521620

212566 RENAL ADVANTAGE INC -

OXON HILL

301-749-9930 OXON HILL MD NO NO12/16/199620745


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

212568 FMC OF PORTER DIALYSIS -

WHITE MARSH

410-933-3170 WHITE MARSH MD NO NO02/12/199721236

212573 ELK RIVER KIDNEY CENTER 410-620-0391 ELKTON MD YES NO08/01/199721921

212574 DAVITA - OWINGS MILLS 410-902-2731 OWINGS MILLS MD NO NO08/13/199721117

212576 RENAL TREATMENT CENTER -

WHEATON

301-949-9962 WHEATON MD YES NO09/10/199720902

212577 MARYLAND KIDNEY CARE -

NORTH CHARLES


212578 MANOR CARE DIALYSIS 410-780-0735 BALTIMORE MD NO NO06/25/199721237

212582 IDF - DEATON CENTER 410-752-2886 BALTIMORE MD NO NO03/20/199821230

212583 BMA - FORT WASHINGTON 301-203-3901 FORT WASHINGTON MD YES NO03/27/199820744

212585 BMA - ROCKVILLE 301-610-0071 ROCKVILLE MD YES NO04/15/199820855

212586 ADVENTIST DIALYSIS

SERVICES

301-625-5889 SILVER SPRING MD NO NO04/08/199820904

212587 BMA - WHEATON 301-962-2728 WHEATON MD YES NO06/09/199820902

212588 DAVITA - FALLS ROAD 410-494-4081 LUTHERVILLE MD NO NO07/29/199821093


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

212590 RENAL CARE & MANAGEMENT -

TAKOMA PARK

301-434-4927 SILVER SPRING MD NO NO10/09/199820903

212592 DAVITA - J.B. ZACHARY 410-550-0061 BALTIMORE MD YES NO05/01/199821224

212593 DAVITA - SILVER SPRING 301-563-3661 SILVER SPRING MD YES NO01/15/199920910

212594 DAVITA - BELAIR 410-515-5207 BEL AIR MD YES NO02/11/199921015

212595 25TH STREET DIALYSIS INC 410-235-5161 BALTIMORE MD NO NO01/22/199921218

212596 SILVER SPRING ARTIFICIAL

KIDNEY CENTER

301-563-3680 SILVER SPRING MD YES NO01/12/199920910

212597 DAVITA - BALTIMORE

GERIATRIC & REHAB CENTER


212598 DAVITA - FREDERICK 301-695-5090 FREDERICK MD YES NO01/01/198921702


ROSEDALE

410-918-8099 ROSEDALE MD YES NO04/30/199921237

212605 HARFORD ROAD DIALYSIS

CENTER


212606 DAVITA - HOWARD STREET

DIALYSIS



DUNDALK

410-288-8201 DUNDALK MD NO NO03/28/200021224


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

212610 FMC - WALDORF 301-870-0022 WALDORF MD YES NO03/17/200020603

212611 FMC - PRINCE GEORGES

COUNTY DIALYSIS

301-429-9355 LANHAM MD NO NO03/07/200020784

212612 DULANEY TOWSON DIALYSIS

CENTER

410-825-5369 TOWSON MD NO NO06/14/200021204

212613 DAVITA - PASADENA 410-439-9139 PASADENA MD YES NO06/07/200021122

212614 ULTIMATE RENAL CARE 301-927-7880 HYATTSVILLE MD YES NO11/13/200020782


PIKESVILLE

410-484-4312 PIKESVILLE MD NO NO04/11/200121208

212616 DAVITA - DUNDALK 410-284-4900 DUNDALK MD NO NO03/12/200121222

212617 IDF - LIONS MANOR 301-722-2629 CUMBERLAND MD YES NO12/20/200121502

212618 GOOD SAMARITAN HOSPITAL

AT CROMWELL CENTER


212619 MARYLAND KIDNEY CARE -

CHESAPEAKE

410-975-5952 ARNOLD MD NO NO11/27/200121012

212620 ST THOMAS MORE DIALYSIS 301-864-4024 HYATTSVILLE MD NO NO12/03/200120782

212621 RIVERTOWNE DIALYSIS

CENTER

301-839-9344 OXON HILL MD NO NO02/27/200220745


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

212622 ARA - ADELPHI 301-434-4188 ADELPHI MD NO NO07/12/200220783

212625 MONTGOMERY RENAL CENTER,

LLC

240-361-1062 GERMANTOWN MD YES NO08/09/200220874

212626 RENAL CARE OF BOWIE, LLC 301-809-9534 BOWIE MD NO NO08/05/200220715

212627 ROBINWOOD DIALYSIS

FACILITY

240-313-3962 HAGERSTOWN MD YES NO10/28/200221742

212628 DAVITA - CEDAR LANE 410-531-1539 COLUMBIA MD NO NO12/30/200221044

212629 PENINSULA RENAL CARE 410-742-2180 SALISBURY MD YES NO12/19/200221804

212630 FMC - FORT FOOTE 301-686-6080 FORT WASHINGTON MD NO NO12/18/200220744

212631 DAVITA - GLEN BURNIE

DIALYSIS

410-760-0710 GLEN BURNIE MD YES NO04/03/200321061

212632 COMMUNITY DIALYSIS

CENTERS INC


212633 DCA - CHEVY CHASE 301-652-2343 BETHESDA MD YES NO03/31/200320814

212634 DAVITA - NORTH ROLLING

ROAD DIALYSIS


212636 PIKESVILLE DIALYSIS 410-415-5552 PIKESVILLE MD NO NO05/12/200321208


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

212637 FMC - ANNE ARUNDEL 410-266-6728 ANNAPOLIS MD NO NO07/15/200321401

212638 GERMANTOWN DIALYSIS 301-540-0460 GERMANTOWN MD YES NO11/18/200320874

212639 CAMBRIDGE DIALYSIS CENTER 410-228-8902 CAMBRIDGE MD NO NO12/03/200321613

212640 RENAL CARE OF SEAT

PLEASANT, LLC

301-336-6627 SEAT PLEASANT MD YES NO04/07/200420743

212641 DCA - ROCKVILLE 301-468-8322 ROCKVILLE MD YES NO06/30/200420852

212642 ADVANCED DIALYSIS CENTER 410-496-6007 RANDALLSTOWN MD NO NO09/24/200421133

212643 RENAL CAREPARTNERS -

PRINCE FREDERICK

410-414-4800 PRINCE FREDERICK MD YES NO12/10/200420678

212646 GOOD SAMARITAN HOSP -

LORIEN FRANKFORD


212647 DCA - BALTIMORE 410-947-7322 BALTIMORE MD YES NO08/22/200521229

213503 HOLY CROSS DIALYSIS CENTER

- WOODMORE

301-390-0727 MITCHELLVILLE MD NO NO05/14/200320721

200009 MAINE MEDICAL CENTER

-TRANSPLANT

207-842-2718 PORTLAND ME NO YES08/31/197704102

200013 WALDO COUNTY GENERAL

HOSPITAL

207-338-8117 BELFAST ME YES NO08/01/1989202303 04915


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

200018 COUNTY DIALYSIS CENTER 207-768-8586 PRESQUE ISLE ME NO NO06/18/1997202304 04769

200033 EASTERN MAINE MEDICAL

CENTER

207-973-3746 BANGOR ME YES NO08/31/1977202301 04401

200039 MAINEGENERAL MEDICAL

CENTER

207-872-2129 WATERVILLE ME YES NO08/31/1977202302 04901

20003F VA MEDICAL CENTER -TOGUS 207-623-3841 TOGUS ME NO NO01/01/197704330

202500 SOUTHERN MAINE DIALYSIS

FACILITY

207-774-4598 PORTLAND ME YES NO10/17/197704102

202501 LEWISTON AUBURN KIDNEY

CENTER

207-784-4226 LEWISTON ME NO NO11/01/198404240

202502 COASTAL DIALYSIS CENTER 207-443-3748 BATH ME NO NO02/14/199504530

202503 YORK COUNTY DIALYSIS

CENTER

207-282-2390 BIDDEFORD ME YES NO08/13/199604005

202504 KENNEBEC KIDNEY CENTER 207-622-2709 AUGUSTA ME YES NO01/11/199904330

202505 CASCO BAY DIALYSIS FACILITY 207-854-4982 WESTBROOK ME YES NO09/23/199904092

202506 ANDROSCOGGIN KIDNEY

CENTER

207-795-5131 AUBURN ME YES NO09/23/199904210

202507 DAMARISCOTTA DIALYSIS 207-563-3260 DAMARISCOTTA ME YES NO01/01/200204543


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

202508 UMBAGOG KIDNEY CENTER 207-645-5210 WILTON ME YES NO01/28/200304294

202509 DCI SKOWHEGAN 207-474-4600 SKOWHEGAN ME NO NO03/19/200304976

202510 SUNRISE COUNTY DIALYSIS 207-853-3960 EASTPORT ME YES NO08/26/200304631

203500 EASTERN MAINE DIALYSIS 207-667-7929 ELLSWORTH ME NO NO02/02/199904605

203501 LINCOLN LAKES REGION

DIALYSIS

207-794-4609 LINCOLN ME NO NO07/01/200404457

230021 LAKELAND DIALYSIS CENTER 269-428-8747 ST JOSEPH MI YES NO09/01/1977232304 49085

230030 GREAT LAKES RENAL NW -

ALMA

989-466-6333 ALMA MI YES NO09/01/1977232307 48801

230038 DEVOS CHILDRENS HOSP -

DIALYSIS UNIT

616-391-1109 GRAND RAPIDS MI YES YES08/09/2004232345 49503

230038 DEVOS CHILDRENS HOSP -

TRANSPLANT UNIT

616-391-1378 GRAND RAPIDS MI NO YES08/09/2004232345 49503

230046 UNIVERSITY OF MI DIALYSIS -

PEDIATRIC

734-615-5803 ANN ARBOR MI YES YES01/01/1977232309 48109

230053 HENRY FORD HOSPITAL

TRANSPLANT

313-916-6291 DETROIT MI NO YES10/17/198348202

230054 MARQUETTE GENERAL

HOSPITAL

906-225-5326 MARQUETTE MI YES NO09/01/1977232330 49855


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

230055 DICKINSON CO HEALTHCARE

DIALYSIS

906-776-6585 IRON MOUNTAIN MI NO NO04/08/199849801

230059 ST MARYS MERCY MEDICAL

CENTER TRANSPLANT

616-752-2622 GRAND RAPIDS MI NO YES09/01/197749503

230104 HARPER UNIVERSITY

HOSPITAL TRANSPLANT

313-966-6493 DETROIT MI NO YES09/01/197748201

230105 NORTHERN MICHIGAN

HOSPITAL

231-487-7468 PETOSKEY MI YES NO09/01/1977232315 49770

23011F VA MEDICAL CENTER - ANN

ARBOR

734-769-9710 ANN ARBOR MI YES NO09/01/1977232317 48105

230130 BEAUMONT HOSPITAL - ROYAL

OAK

248-551-1104 ROYAL OAK MI YES YES09/01/1977232321 48073

230130 BEAUMONT HOSPITAL

TRANSPLANT CENTER

248-551-1103 ROYAL OAK MI NO YES09/01/197748073

230132 HURLEY MEDICAL CENTER

TRANSPLANT

810-257-7985 FLINT MI NO YES09/01/197748502

23013F VA MEDICAL CENTER -

DETROIT

313-576-6100 DETROIT MI NO NO12/15/197348201

230141 MCLAREN KIDNEY CENTER 810-342-2496 FLINT MI YES NO06/26/1992232337 48532

230156 ST JOSEPH MERCY HOSPITAL 734-712-2347 ANN ARBOR MI YES NO09/01/1977232325 48106

230165 ST JOHN HOSPITAL -

TRANSPLANT

313-343-3304 DETROIT MI NO YES08/29/199048236


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

230230 SPARROW DIALYSIS -

SPARROW CAMPUS

517-364-4737 LANSING MI YES NO04/11/2005232346 48909

230269 BEAUMONT HOSPITAL -

STERLING HGTS

248-964-4010 STERLING HEIGHTS MI YES NO03/10/1980232335 48314

232500 FMC DIALYSIS - DETROIT 313-758-8000 HAMTRAMCK MI YES NO09/01/197748212

232501 FMC DIALYSIS - LIVONIA 734-525-5078 LIVONIA MI YES NO09/01/197748150

232502 WASHTENAW REGIONAL

DIALYSIS CENTER

734-434-4951 YPSILANTI MI NO NO06/05/197848197

232503 FMC DIALYSIS - EAST DETROIT 313-417-7290 DETROIT MI NO NO04/16/197948236

232504 RENAL ADVANTAGE - JACKSON 517-788-8872 JACKSON MI YES NO12/17/198049201

232505 GREENFIELD HS - DETROIT

WEST PAVILION

313-916-6706 DETROIT MI YES NO09/01/197748202

232506 GREENFIELD HS - TROY 248-524-4127 TROY MI YES NO09/01/197748083

232507 GREENFIELD HS - DEARBORN 313-441-1116 DEARBORN MI YES NO09/01/197748126


COLDWATER

517-278-8297 COLDWATER MI NO NO09/01/197749036

232509 FMC DIALYSIS - PORT HURON 810-982-2548 PORT HURON MI YES NO11/26/198548060


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

232510 GREENFIELD HS - TAYLOR 313-291-1780 TAYLOR MI YES NO09/01/197748180

232511 NORTH OAKLAND KIDNEY

CENTER OF DAVITA

248-333-3223 PONTIAC MI YES NO10/14/198848341

232512 SOUTHFIELD KIDNEY CENTER

OF DAVITA

248-569-9611 SOUTHFIELD MI YES NO12/21/198848075

232513 FMC DIALYSIS - WARREN 586-558-8889 WARREN MI NO NO09/29/198948093

232514 FMC DIALYSIS - ADRIAN 517-263-3538 ADRIAN MI YES NO02/07/199049221

232515 GREENFIELD HS - LIVONIA 734-591-1640 LIVONIA MI YES NO09/01/197748154

232516 GREENFIELD HS - PONTIAC 248-858-8610 PONTIAC MI YES NO05/23/199048341


CENTER

586-775-5063 ST CLAIR SHORES MI YES NO11/14/199048081

232518 BOTSFORD KIDNEY CENTER 248-442-2790 LIVONIA MI YES NO09/27/199148152

232519 BAY AREA REGL DIALYSIS

CENTER - SAGINAW

989-790-0944 SAGINAW MI YES NO10/30/199148604

232520 DAVITA - DEARBORN 313-274-4810 DEARBORN MI YES NO12/13/199148124

232521 FMC DIALYSIS - FLINT 810-733-3228 FLINT MI YES NO12/13/199148532


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

232522 FMC DIALYSIS - OWOSSO 989-725-5314 OWOSSO MI YES NO02/14/199248867

232523 FMC DIALYSIS - ROMEO PLANK 586-226-6615 MACOMB

TOWNSHIP

MI YES NO03/18/199248044

232525 FMC DIALYSIS - MADISON

HEIGHTS

248-398-8809 MADISON HEIGHTS MI YES NO04/08/199248071

232526 FMC DIALYSIS - NORTHWEST

DETROIT

313-837-7153 DETROIT MI NO NO07/17/199248223

232528 TRAVERSE BAY REGIONAL

DIALYSIS CENTER

231-935-5044 TRAVERSE CITY MI YES NO01/01/199349684

232529 NEW CENTER DIALYSIS OF

DAVITA

313-873-3771 DETROIT MI YES NO05/13/199348202

232530 FMC DIALYSIS - UNIVERSITY 313-341-1436 DETROIT MI NO NO09/01/197748221

232531 REGIONAL DIALYSIS - BAY

CITY

989-686-6878 BAY CITY MI NO NO10/13/199348706

232532 BAY AREA REG DIALYSIS -

ESSEXVILLE

989-894-4281 ESSEXVILLE MI YES NO10/27/199348732

232533 GREAT LAKES DIALYSIS -

MONROE

734-241-1000 MONROE MI YES NO01/21/199448162

232534 REGIONAL DIALYSIS - WEST

BRANCH

989-345-5842 WEST BRANCH MI YES NO01/06/199448661

232535 DAVITA - SOUTHGATE 734-284-4000 SOUTHGATE MI NO NO02/04/199448195


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

232539 DAVITA - MOTOR CITY

DIALYSIS

313-831-1684 DETROIT MI YES NO09/13/199448201

232540 MACOMB KIDNEY CENTER OF

DAVITA

586-558-8816 WARREN MI YES NO10/03/199448088

232541 REGIONAL DIALYSIS -

MIDLAND

989-839-9777 MIDLAND MI NO NO03/09/199548640

232543 DAVITA - REDFORD 313-255-5017 DETROIT MI YES NO08/02/199548219

232544 GREENFIELD HS - NORTHWEST

DETROIT

313-653-3285 DETROIT MI YES NO07/19/199548235

232545 DAVITA OF DETROIT - KRESGE 313-833-3433 DETROIT MI NO NO07/21/199548201

232547 MICHIGAN HOME DIALYSIS

CENTER

269-979-9330 BATTLE CREEK MI YES NO03/14/199649015

232548 RENAL CARE GROUP - EAST

LANSING

517-333-3940 EAST LANSING MI YES NO03/22/199648823

232549 NOVI KIDNEY CENTER OF

DAVITA

248-449-9421 NOVI MI YES NO04/03/199648375

232550 DAVITA - WESTLAND 734-261-1941 WESTLAND MI NO NO12/09/199648185

232551 BRIGHTON DIALYSIS OF

DAVITA

810-225-5628 BRIGHTON MI YES NO05/14/199748114

232552 FMC DIALYSIS - BRIGHTON 810-225-5179 BRIGHTON MI YES NO05/16/199748116


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

232553 ALPENA DIALYSIS SERVICES 989-356-6312 ALPENA MI YES NO05/30/199749707

232554 FMC DIALYSIS - CLINTON 586-791-1620 CLINTON

TOWNSHIP

MI YES NO10/13/199748035

232555 FMC DIALYSIS - ROMULUS 734-955-5733 ROMULUS MI NO NO11/14/199748174

232556 DIALYSIS SERVICES OF

GAYLORD

989-731-1641 GAYLORD MI YES NO11/14/199749735

232557 CHIPPEWA DIALYSIS SERVICES 906-635-5464 SAULT ST MARIE MI YES NO11/24/199749783

232558 FMC DIALYSIS - TECUMSEH 517-423-3100 TECUMSEH MI YES NO06/05/199849286

232559 RENAL CARE GROUP - ALLEGAN 269-673-3170 ALLEGAN MI NO NO08/01/199849010


OSHTEMO

269-375-5581 KALAMAZOO MI YES NO08/01/199849009


KALAMAZOO


232562 DAVITA - MUSKEGON 231-737-7150 MUSKEGON

HEIGHTS

MI YES NO10/01/199849444

232563 DAVITA - GRAND HAVEN 616-847-7282 GRAND HAVEN MI NO NO10/01/199849417

232564 RENAL ADVANTAGE - ZEELAND 616-748-8052 ZEELAND MI NO NO10/01/199849464


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

232565 DAVITA - GRAND RAPIDS 616-458-8510 GRAND RAPIDS MI YES NO10/01/1998232312 49506

232566 RENAL ADVANTAGE - CLYDE

PARK

616-531-1535 WYOMING MI YES NO09/18/199849509

232567 GREENFIELD HS - EASTPOINTE 586-779-9877 EASTPOINTE MI YES NO05/26/199848021

232568 YPSILANTI DIALYSIS OF

DAVITA

734-528-8928 YPSILANTI MI NO NO12/04/199848197

232569 GRAND BLANC DIALYSIS OF

DAVITA

810-953-3880 GRAND BLANC MI YES NO10/14/199848439

232570 DAVITA - HIGHLAND PARK 313-852-2770 HIGHLAND PARK MI NO NO01/19/199948203

232571 JACKSON DIALYSIS OF DAVITA 517-841-1171 JACKSON MI YES NO01/22/199949202

232572 DAVITA - LUDINGTON 231-843-3706 LUDINGTON MI YES NO12/01/199849431

232573 THUMB AREA DIALYSIS CENTER 989-872-2554 CASS CITY MI YES NO05/12/199948726

232574 SOUTHEAST MICHIGAN KIDNEY

CENTER

248-414-4520 BERKLEY MI YES NO06/02/199948072

232575 CLARKSTON DIALYSIS OF

DAVITA

248-620-0095 CLARKSTON MI YES NO05/17/199948346

232576 UNIVERSITY OF MI DIALYSIS

CLINICS - ANN ARBOR

734-677-7149 ANN ARBOR MI YES NO07/01/199948104


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

232577 UNIVERSITY OF MI DIALYSIS

CLINICS - LIVONIA

734-432-2787 LIVONIA MI YES NO07/01/199948152

232578 STATE FAIR DIALYSIS CENTER 313-893-3861 DETROIT MI NO NO09/16/199948203

232579 DETROIT DIALYSIS OF DAVITA 313-567-7222 DETROIT MI YES NO09/27/199948207

232580 FMC DIALYSIS - BEWICK 313-824-4343 DETROIT MI YES NO07/21/200048214

232581 FMC DIALYSIS - CONNER 313-924-4001 DETROIT MI NO NO07/21/200048213

232582 FMC DIALYSIS - WEST ANN

ARBOR

734-623-3225 ANN ARBOR MI NO NO12/10/199948103

232583 DAVITA - SCHAEFER DR 313-861-1435 DETROIT MI NO NO11/01/199948235

232584 DAVITA - CADIEUX 313-640-0929 DETROIT MI YES NO03/01/200048224


ESCANABA

906-789-9801 ESCANABA MI NO NO06/01/200049829

232586 SAGINAW DIALYSIS CLINIC-

DAVITA

989-771-1200 SAGINAW MI YES NO08/09/200048601

232587 RENAL ADVANTAGE -

ROOSEVELT PARK

231-780-0546 MUSKEGON MI YES NO12/06/200049441

232588 DAVITA - GRAND RAPIDS EAST 616-742-2893 GRAND RAPIDS MI NO NO01/25/200149503


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

232589 RENAL DIALYSIS CENTER -

MANISTEE

231-398-8179 MANISTEE MI NO NO01/29/200149660


CADILLAC

231-779-9891 CADILLAC MI YES NO01/29/200149601


BALDWIN

231-745-5202 BALDWIN MI NO NO01/29/200149304

232592 DAVITA - DOWNRIVER KIDNEY

CENTER

313-382-2593 ALLEN PARK MI YES NO02/26/200148101

232593 WEST DETROIT DIALYSIS 313-491-1745 DETROIT MI NO NO02/22/200148228

232594 HEMACARE - MT MORRIS 810-687-7683 MT MORRIS MI NO NO08/06/200148458

232595 OPTIMAL CARE DIALYSIS 313-341-1787 DETROIT MI NO NO01/11/200248235

232596 DAVITA - ROMULUS 734-722-2545 ROMULUS MI NO NO06/06/200248174

232597 MOSES DIALYSIS UNIT 906-643-3040 SAINT IGNACE MI NO NO07/26/200249781

232598 BAY AREA REGL DIALYSIS

CENTER - SAGINAW RIVERSIDE

989-921-1217 SAGINAW MI YES NO06/26/200248602

232599 RENAL ADVANTAGE -

ROCKFORD

616-863-3621 ROCKFORD MI YES NO08/21/200249341

232600 DAVITA - GREENVIEW 248-569-9172 SOUTHFIELD MI NO NO09/26/200248075


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

232601 FLUSHING DIALYSIS OF

DAVITA

810-733-3500 FLUSHING MI YES NO12/03/200248433

232602 HEMACARE - DAVISON 810-654-4013 DAVISON MI NO NO02/04/200348423

232603 FOWLERVILLE DIALYSIS OF

DAVITA

517-223-3077 FOWLERVILLE MI YES NO02/03/200348836

232604 SOUTHFIELD WEST DIALYSIS

OF DAVITA


232605 DAVISON DIALYSIS OF DAVITA 810-658-8822 DAVISON MI YES NO03/26/200348423

232606 RENAL CARE GROUP - THREE

RIVERS

269-273-3499 THREE RIVERS MI NO NO04/22/200349093

232607 DAVITA - NEWAYGO COUNTY 231-924-4453 FREMONT MI YES NO05/21/200323-2607 49412

232608 FLINT DIALYSIS OF DAVITA 810-239-9992 FLINT MI YES NO09/01/197748503

232609 HALLWOOD DIALYSIS OF

DAVITA

810-787-7449 FLINT MI NO NO06/01/200348504

232610 PARK PLAZA DIALYSIS OF

DAVITA

810-235-5846 FLINT MI NO NO06/01/200348504

232611 RENAL DIALYSIS CENTER - BIG

RAPIDS

231-527-7162 BIG RAPIDS MI NO NO08/05/200349307

232612 NW DETROIT DIALYSIS -

LAHSER SATELLITE



Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

232613 DAVITA OAK PARK DIALYSIS 248-582-2975 OAK PARK MI NO NO10/16/200348237

232614 GREAT LAKES DIALYSIS, LLC 313-924-4967 DETROIT MI YES NO12/17/200348213

232615 FMC DIALYSIS - HARPER

WOODS

313-884-4999 HARPER WOODS MI YES NO10/29/200348225

232616 LIFE - ALYSIS KIDNEY CENTER 313-371-1543 DETROIT MI YES NO03/11/200448213

232617 DAVITA BATTLE CREEK

DIALYSIS

269-968-8840 BATTLE CREEK MI YES NO11/01/197749017

232618 RENAL CARE GROUP - LANSING 517-393-3035 LANSING MI YES NO05/14/200448911

232619 TAYLOR DIALYSIS CENTER 734-287-7658 TAYLOR MI NO NO05/13/200448180

232620 FMC - TAWAS BAY 989-362-2526 EAST TAWAS MI YES NO07/07/200448730

232621 RENAL CARE GROUP - SOUTH

HAVEN

269-639-9180 SOUTH HAVEN MI YES NO10/08/200449090

232622 WESTLAND DIALYSIS OF

DAVITA

734-721-1103 WESTLAND MI NO NO11/09/200448185

232623 RENAL CARE GROUP - BATTLE

CREEK NORTH

269-968-8886 BATTLE CREEK MI NO NO03/10/200549017

232624 DAVITA - BALLENGER POINTE 810-232-2900 FLINT MI YES NO05/23/200548503


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


CHARLOTTE

517-543-3677 CHARLOTTE MI NO NO06/30/200548813


KALAMAZOO PD UNIT


233300 CHILDRENS OF MI DIALYSIS (6

WEST)

313-745-5560 DETROIT MI YES YES09/01/1977232328 48201

233300 CHILDRENS OF MI TRANSPLANT 313-745-5560 DETROIT MI NO YES09/01/197748201

233513 BEAUMONT HOSPITAL -

ROCHESTER HILLS

248-650-0153 ROCHESTER HILLS MI NO NO10/30/199548306

233515 GREAT LAKES RENAL NW -

GREENVILLE

616-225-5950 GREENVILLE MI NO NO08/18/199548838

233517 SPARROW DIALYSIS - ST

LAWRENCE CAMPUS

517-364-4737 LANSING MI NO NO09/01/197748915

233519 IRON COUNTY COMMUNITY

HOSPITAL, INC

906-875-5474 CRYSTAL FALLS MI NO NO01/14/200049920

233520 WESTERN UPPER PENINSULA

DIALYSIS UNIT

906-483-3172 HANCOCK MI NO NO01/10/2001230054 49930

233522 BEAUMONT HOSPITAL - HAZEL

PARK

248-545-5055 HAZEL PARK MI NO NO05/23/200148030

233523 GREAT LAKES RENAL NW - MT

PLEASANT

989-779-9872 MOUNT PLEASANT MI YES NO07/03/200248858

233524 EASTERN UPPER PENINSULA

DIALYSIS CENTER

906-293-3168 NEWBERRY MI NO NO08/01/2002230054 49868


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

233525 LAKELAND DIALYSIS - NILES 269-684-4011 NILES MI YES NO10/07/200549120

240004 HENNEPIN COUNTY MEDICAL

CENTER TRANSPLANT

612-347-7593 MINNEAPOLIS MN NO YES09/01/197755404

240010 ST MARYS HOSPITAL

TRANSPLANT

507-266-6346 ROCHESTER MN NO YES01/09/199155902


MINNEAPOLIS

612-467-7328 MINNEAPOLIS MN YES NO10/01/197155417

240022 WORTHINGTON REGIONAL

HOSPITAL

507-372-2327 WORTHINGTON MN NO NO08/30/198456187

240044 COMMUNITY MEMORIAL

HOSPITAL

507-454-4365 WINONA MN NO NO09/01/197755987

240049 FAIRVIEW UNIVERSITY

MEDICAL CENTER DIALYSIS

612-273-3399 MINNEAPOLIS MN YES YES09/01/197755455

240049 FAIRVIEW UNIVERSITY

MEDICAL CENTER

TRANSPLANT


240057 ABBOTT NORTHWESTERN

TRANSPLANT


240061 MAYO ARTIFICIAL KIDNEY

CENTER

507-266-6161 ROCHESTER MN YES YES09/01/1977242309 55905

240061 MAYO ROCHESTER METHODIST

- TRANSPLANT

507-266-6346 ROCHESTER MN NO YES09/01/197755905

240088 RICE MEMORIAL HOSPITAL 320-235-5454 WILLMAR MN YES NO09/01/1977242310 56201


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

240093 IMMANUEL ST JOSEPHS

HOSPITAL

507-625-5403 MANKATO MN YES NO04/20/1981242313 56002

240101 MERITCARE DIALYSIS -

DETROIT LAKES

218-847-7082 DETROIT LAKES MN NO NO04/28/200056501

242501 EDINA DIALYSIS OF DAVITA 952-925-5933 EDINA MN NO NO11/28/199055435

242502 MARSHALL DIALYSIS OF

DAVITA

507-537-7934 MARSHALL MN NO NO11/14/199056258

242503 MINNEAPOLIS DIALYSIS OF

DAVITA


242505 WEST ST PAUL DIALYSIS OF

DAVITA

651-455-5299 WEST ST PAUL MN NO NO01/17/199255118

242507 FMC DIALYSIS - GOLDEN

VALLEY

763-544-4029 GOLDEN VALLEY MN YES NO08/27/199255422

242508 FARIBAULT DIALYSIS OF

DAVITA

507-334-4030 FARIBAULT MN NO NO11/24/199255021

242510 FMC DIALYSIS - NORTH

SUBURBAN

763-783-3010 COON RAPIDS MN YES NO03/02/199355433

242511 MONTEVIDEO DIALYSIS OF

DAVITA

320-269-9745 MONTEVIDEO MN NO NO03/30/199356265

242512 MAPLEWOOD DIALYSIS OF

DAVITA

651-779-9222 MAPLEWOOD MN NO NO05/24/199355109

242513 ST PAUL DIALYSIS OF DAVITA 651-291-1885 ST PAUL MN NO NO06/30/198255103


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

242514 COON RAPIDS DIALYSIS OF

DAVITA

763-421-1871 COON RAPIDS MN NO NO01/25/198455433

242515 BURNSVILLE DIALYSIS OF

DAVITA

952-892-2111 BURNSVILLE MN NO NO11/24/198755337

242516 PINE CITY DIALYSIS OF DAVITA 763-444-4724 PINE CITY MN NO NO04/24/199155063

242518 ARDEN HILLS DIALYSIS OF

DAVITA

651-483-3315 ARDEN HILLS MN NO NO05/20/198855112

242519 MAYO DIALYSIS - FAIRMONT 507-238-8506 FAIRMONT MN NO NO06/01/200156031

242520 RED WING DIALYSIS OF

DAVITA

651-388-8771 RED WING MN NO NO03/07/199055066

242521 FMC DIALYSIS - HUTCHINSON 320-234-4494 HUTCHINSON MN NO NO12/08/199355350

242522 REDWOOD FALLS DIALYSIS OF

DAVITA

507-637-7362 REDWOOD FALLS MN NO NO05/05/199456283

242523 FMC DIALYSIS - ROSEVILLE 651-489-9331 ROSEVILLE MN YES NO02/01/199555113

242526 MINNETONKA DIALYSIS OF

DAVITA

952-470-0994 MINNETONKA MN NO NO09/18/199555345

242528 CASS LAKE DIALYSIS OF

DAVITA

218-335-5667 CASS LAKE MN NO NO10/16/199556633

242529 FMC DIALYSIS - BUFFALO 763-682-2021 BUFFALO MN NO NO07/03/199655313


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

242531 FOREST LAKE DIALYSIS OF

DAVITA

651-982-2921 FOREST LAKE MN NO NO11/15/199655025

242532 FMC DIALYSIS - FERGUS FALLS 218-739-9620 FERGUS FALLS MN YES NO05/01/199756537

242533 CAPITOL DIALYSIS OF DAVITA 651-221-1331 ST PAUL MN NO NO04/18/199755103

242534 FMC DIALYSIS - SOUTH

MINNEAPOLIS


242535 RIVER CITY DIALYSIS 651-430-0006 STILLWATER MN NO NO04/01/199755082

242536 WOODBURY DIALYSIS OF

DAVITA

651-730-0452 WOODBURY MN NO NO04/01/199755125

242537 WACONIA DIALYSIS OF DAVITA 952-442-2157 WACONIA MN NO NO05/23/199755387

242539 RIVERSIDE DIALYSIS OF

DAVITA


242541 PIPESTONE DIALYSIS OF

DAVITA

507-825-5662 PIPESTONE MN NO NO05/06/199855164

242542 FMC DIALYSIS - SHAKOPEE 952-403-3103 SHAKOPEE MN NO NO05/22/199855379

242544 FMC DIALYSIS - NEW

BRIGHTON

651-631-1088 NEW BRIGHTON MN NO NO02/05/199955112

242545 FMC - PARK AVE DIALYSIS

CENTER

612-872-2194 MINNEAPOLIS MN NO NO08/01/199855407


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

242546 FMC MORA DIALYSIS CENTER 320-679-9125 MORA MN YES NO08/01/199855051

242547 BLOOMINGTON DIALYSIS OF

DAVITA

952-703-3588 BLOOMINGTON MN NO NO02/14/200055420

242548 FMC DIALYSIS - DULUTH 218-786-6153 DULUTH MN NO NO09/01/200055805

242549 FMC DIALYSIS - EVELETH 218-744-4322 EVELETH MN NO NO09/01/200055734

242550 FMC DIALYSIS - GRAND

RAPIDS

218-327-7193 GRAND RAPIDS MN NO NO09/01/200055744

242551 FMC DIALYSIS - CENTRAL MN

REGIONAL DIALYSIS

763-389-9104 PRINCETON MN NO NO01/08/200155371

242552 HOME DIALYSIS OF DAVITA 612-347-7445 MINNEAPOLIS MN YES NO08/01/200255404

242553 MINNEAPOLIS NE DIALYSIS OF

DAVITA

612-331-1608 MINNEAPOLIS MN NO NO09/20/200255414

242554 ST LOUIS PARK DIALYSIS OF

DAVITA

952-285-5140 ST LOUIS PARK MN NO NO09/01/200255426

242555 FRESENIUS MEDICAL CARE -

SPIRIT VALLEY

218-624-4778 DULUTH MN YES NO07/01/200355807

242556 EDEN PRAIRIE DIALYSIS OF

DAVITA

952-934-4241 EDEN PRAIRIE MN NO NO10/06/200355344

242557 EAGAN DIALYSIS OF DAVITA 651-688-8013 EAGAN MN NO NO02/27/200455121


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

242558 MAYO CLINIC NE DIALYSIS

UNIT

507-538-8858 ROCHESTER MN NO NO06/08/200455906

242559 FMC DIALYSIS SERVICES OF ST

PAUL

651-251-1384 ST PAUL MN NO NO12/13/200455106

242560 FRESENIUS MEDICAL CARE -

CHAMPLIN

763-421-1103 CHAMPLIN MN NO NO03/04/200555316


HIBBING

218-263-3730 HIBBING MN NO NO01/01/200555746

242562 FMC - MIDWAY ST PAUL 651-917-7008 ST PAUL MN YES NO05/25/200555104

242563 DAVITA - RICHFIELD 612-869-9211 RICHFIELD MN NO NO12/16/200555423

242564 DAVITA - NEW HOPE 763-537-7030 NEW HOPE MN NO NO12/20/200555428

243511 IMMANUEL ST JOSEPHS - NEW

ULM

507-233-3162 NEW ULM MN NO NO02/11/199156073

243513 CENTRACARE DIALYSIS -

BRAINERD

218-825-5896 BRAINERD MN YES NO02/02/199356401

243514 MAYO DIALYSIS - OWATONNA 507-446-6511 OWATONNA MN NO NO02/05/199355060

243515 MAYO DIALYSIS - WABASHA 651-565-5599 WABASHA MN YES NO05/20/199255981


BEMIDJI

218-333-3564 BEMIDJI MN NO NO05/18/199456601


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

243521 CENTRACARE DIALYSIS AT ST

GABRIELS HOSP

320-632-2119 LITTLE FALLS MN YES NO09/01/197756345

243523 CENTRACARE DIALYSIS AT

DOUGLAS COUNTY HOSP

320-762-2122 ALEXANDRIA MN YES NO06/13/199756308


MONTICELLO

763-295-5213 MONTICELLO MN YES NO12/23/199755362

243525 SIOUX VALLEY CANBY

DIALYSIS

507-223-3727 CANBY MN NO NO07/09/199956220


PRINCETON

763-389-9796 PRINCETON MN YES NO12/15/200055371

243528 CENTRACARE DIALYSIS 320-229-9492 ST CLOUD MN YES NO03/01/200256303


MORRIS

320-589-9283 MORRIS MN NO NO06/24/200256267


LAKEWOOD HEALTH SYSTEM

218-894-4002 STAPLES MN YES NO01/01/200456479


ORTONVILLE

320-839-9407 ORTONVILLE MN NO NO06/19/200456278

243534 MERITCARE DIALYSIS - RED

LAKE

218-679-9311 RED LAKE MN NO NO03/30/200556671

243535 MAYO DIALYSIS - ALBERT LEA 507-377-7592 ALBERT LEA MN NO NO11/22/200556007

260014 BARNES HOSPITAL 314-362-2536 SAINT LOUIS MO NO YES08/26/1980262302 63110


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

260020 SAINT JOHNS MERCY MEDICAL

CENTER DIALYSIS

314-251-1642 SAINT LOUIS MO NO NO03/12/1985262319 63141

260027 RESEARCH MEDICAL CENTER

DIALYSIS UNIT

816-276-6422 KANSAS CITY MO NO YES04/01/1985262304 64132

260027 RESEARCH MEDICAL CENTER

TRANSPLANT UNIT


260040 OZARKS DIALYSIS SERVICES -

NORTH

417-269-9348 SPRINGFIELD MO NO NO09/01/1997262337 65802


KANSAS CITY DIALYSIS

816-861-1470 KANSAS CITY MO YES YES01/01/197072 64128


KANSAS CITY


26009F V. A. MEDICAL CENTER - SAINT

LOUIS DIALYSIS

314-289-9648 SAINT LOUIS MO YES YES07/18/1977262307 63106

26009F V. A. MEDICAL CENTER - SAINT

LOUIS

314-289-9648 SAINT LOUIS MO NO YES07/18/1977262307 63106

260100 SAMARITAN MEMORIAL

HOSPITAL

660-385-5874 MACON MO NO NO04/06/1995262330 63552

260105 SAINT LOUIS UNIVERSITY

HOSPITAL - TRANSPLANT UNIT


260113 SIKESTON JAYCEE REGIONAL

DIALYSIS CENTER

573-472-2723 SIKESTON MO YES NO08/30/1977262311 63801

260137 FREEMAN NEPHROLOGY &

DIALYSIS CENTER

417-347-7833 JOPLIN MO YES NO05/12/2004262325 64804


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

260138 SAINT LUKES HOSPITAL

KIDNEY TRANSPLANT UNIT


260141 UNIVERSITY OF MISSOURI

HOSPITAL & CLINICS DIALYSIS

573-882-2876 COLUMBIA MO YES YES06/30/1977262314 65212

260141 UNIVERSITY OF MISSOURI

HOSPITAL & CLINICS

573-882-2691 COLUMBIA MO NO YES06/30/1977262314 65212

260172 SALEM MEMORIAL HOSPITAL 573-729-9662 SALEM MO NO NO06/24/1977262315 65560


WEST DIALYSIS UNIT

314-205-5642 CHESTERFIELD MO NO NO10/18/1985262321 63017

260180 CHRISTIAN HOSPITAL

NORTHEAST


262501 KANSAS CITY DIALYSIS &

TRANSPLANT CENTER

816-444-4209 KANSAS CITY MO YES NO06/20/197747 64132

262502 CHROMALLOY AMERICAN

KIDNEY CENTER

314-362-2720 SAINT LOUIS MO YES NO07/13/197748 63110


SAINT LOUIS



NORTHLAND

816-842-2205 NORTH KANSAS

CITY

MO YES NO07/13/197950 64116

262505 DIALYSIS CLINICS, INC -

KIRKSVILLE

660-665-5837 KIRKSVILLE MO NO NO06/13/197951 63501


COLUMBIA

573-443-3153 COLUMBIA MO YES NO07/09/197952 65201


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

262507 SAINT LOUIS REGIONAL

DIALYSIS CENTER

314-739-9733 BRIDGETON MO YES NO04/13/198153 63044

262508 AFFILIATED HOSPITAL

DIALYSIS

314-434-4477 CREVE COEUR MO YES NO07/24/198154 63141

262509 METRO DIALYSIS CENTER -

NORTH

314-831-1799 FLORISSANT MO NO NO11/13/198155 63033

262511 BLUE SPRINGS DIALYSIS

CENTER

816-229-9240 BLUE SPRINGS MO NO NO04/04/198356 64014


JEFFERSON CITY WEST

573-893-3522 JEFFERSON CITY MO NO NO05/01/198458 65109

262514 RENAL CARE GROUP - JOPLIN

WEST

417-782-2205 JOPLIN MO YES NO07/01/198459 64804


SEDALIA

660-826-6056 SEDALIA MO NO NO09/03/198460 65301


MEXICO

573-581-1263 MEXICO MO NO NO06/26/198561 65265

262517 DIALYSIS CLINICS, INC - SAINT

JOSEPH


262520 DIALYSIS CLINICS, INC - WEST

PLAINS

417-257-7168 WEST PLAINS MO NO NO01/08/198865 65775

262521 SAINT CHARLES COUNTY

DIALYSIS

636-970-0373 SAINT PETERS MO YES NO05/05/198866 63376


LOUISIANA

573-754-4623 LOUISIANA MO NO NO01/23/198993 63353


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


HARRISONVILLE

816-380-0200 HARRISONVILLE MO NO NO02/01/1998175 64701


CRYSTAL CITY

636-931-1795 CRYSTAL CITY MO YES NO03/22/198992 63019

262526 BLUFF CITY DIALYSIS 573-686-6232 POPLAR BLUFF MO NO NO06/28/1990168 63901

262527 GAMBRO HEALTHCARE - SAINT

LOUIS



CENTERS - BRIDGETON



LIBERTY

816-781-1442 LIBERTY MO NO NO07/25/1991177 64068

262531 METRO DIALYSIS CENTER -

NORMANDY

314-389-9410 NORMANDY MO NO NO08/02/1991178 63121

262534 HOPE AGAIN DIALYSIS 573-888-8022 KENNETT MO NO NO09/24/1992189 63857


CENTERS - NORTH COUNTY

314-653-3610 FLORISSANT MO NO NO11/25/1992186 63033

262536 GAMBRO HEALTHCARE - ROLLA 573-364-4647 ROLLA MO YES NO01/13/1993194 65401


BAPTIST

816-363-3822 KANSAS CITY MO NO NO07/21/1993199 64131

262538 PENN VALLEY DIALYSIS

CENTER



Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


UNIVERSITY CITY

314-726-6037 UNIVERSITY CITY MO YES NO03/11/1994204 63130


CREVE COEUR

314-872-2927 CREVE COEUR MO YES NO11/21/1994211 63141


ST LOUIS

636-561-1479 LAKE SAINT LOUIS MO YES NO02/16/1995212 63367


OSAGE BEACH

573-348-8940 OSAGE BEACH MO NO NO02/28/1995213 65065


BRIDGETON


262544 RENAL CARE GROUP - CAPE

GIRARDEAU

573-334-4485 CAPE GIRARDEAU MO YES NO08/30/1995217 63703

262547 KIDNEY DISEASE CENTER OF

THE OZARKS, L L C

417-890-0014 SPRINGFIELD MO YES NO09/11/1996242 65804

262548 RENAL CARE GROUP - JOPLIN

EAST

417-782-2405 JOPLIN MO NO NO03/29/1996248 64804

262549 SAINT LOUIS RENAL CARE, L L

C


262550 RENAL CARE GROUP - KENNETT 573-888-8103 KENNETT MO NO NO11/15/1996255 63857


HOSPITAL HILL


262552 DIALYSIS CLINICS, INC - LEES

SUMMIT

816-554-4271 LEE'S SUMMIT MO NO NO12/31/1996260 64063


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

262553 AFFILIATED HOSPITAL

DIALYSIS - SOUTH

636-305-5114 FENTON MO NO NO01/08/1997265 63026

262554 FARMINGTON DIALYSIS

CENTER

573-760-0804 FARMINGTON MO YES NO04/01/1997262325 63640


OF LEES SUMMIT

816-554-4074 LEE'S SUMMIT MO NO NO02/12/1997262 64081


OF INDEPENDENCE

816-836-6122 INDEPENDENCE MO NO NO05/14/1997261 64054

262557 RENAL CARE GROUP- BRANSON 417-334-4748 BRANSON MO NO NO09/11/1997276 65616

262559 RENAL CARE GROUP - BOLIVAR 417-777-7811 BOLIVAR MO NO NO03/05/1998299 65613


MAPLEWOOD



FLORISSANT

314-830-0278 FLORISSANT MO YES NO04/20/1998288 63033


WASHINGTON

636-390-0823 WASHINGTON MO YES NO04/13/1998287 63090

262563 RENAL CARE GROUP - POPLAR

BLUFF

573-785-5500 POPLAR BLUFF MO YES NO05/28/1998301 63901

262564 RENAL CARE GROUP - SAINT

LUKES


262565 BARNES JEWISH DIALYSIS

CENTER



Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


UNION

636-584-4030 UNION MO YES NO07/09/1998313 63084


CHARLES

636-940-0884 SAINT CHARLES MO NO NO08/10/1998314 63303

262569 JEFFERSON COUNTY DIALYSIS

CENTER

636-937-7797 FESTUS MO YES NO10/14/1998324 63028


BOONVILLE

660-882-2246 BOONVILLE MO NO NO01/06/1999331 65233


SHREWSBURY



MOBERLY

660-263-3161 MOBERLY MO NO NO04/13/1999336 65270

262574 SOUTH COUNTY DIALYSIS

CENTER



JEFFERSON CITY EAST

573-632-2263 JEFFERSON CITY MO NO NO08/20/1999341 65101

262576 GAMBRO HEALTHCARE - ST.

JOSEPH

816-671-1194 SAINT JOSEPH MO YES NO09/01/1999356 64507


BELTON

816-322-2403 BELTON MO NO NO07/20/1999338 64012


CAMERON

816-632-2605 CAMERON MO NO NO09/01/1999457 64429

262579 RENEX DIALYSIS CENTER OF

SAINT LOUIS

314-535-5291 SAINT LOUIS MO YES NO11/01/199963110


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


CHILLICOTHE

660-707-7109 CHILLICOTHE MO YES NO04/26/200064601


MARSHALL DIALYSIS CENTER

660-886-6908 MARSHALL MO NO NO05/22/200065340


MARYVILLE

660-582-2832 MARYVILLE MO NO NO06/16/200064468


LOUIS WEST

314-989-9088 SAINT LOUIS MO NO NO06/26/200063141

262584 SATELLITE KIDNEY DISEASE

CENTER OF THE OZARKS -

MOUNTAIN GR

417-926-6007 MOUNTAIN GROVE MO NO NO08/16/200065711


LOUIS WEST PD



LEBANON

417-532-2033 LEBANON MO YES NO11/30/200065536

262588 RENAL CARE GROUP-BUTLER 660-679-9651 BUTLER MO NO NO12/13/200064730


HAZELWOOD

314-895-5441 HAZELWOOD MO NO NO08/17/200163042

262590 FMC -LETHOLT DIALYSIS

CENTER

816-470-0200 RICHMOND MO NO NO11/09/200164085

262591 CRESTWOOD DIALYSIS 314-965-5554 SAINT LOUIS MO YES NO03/18/200263126

262592 DIALYSIS CLINIC, INC -

CLINTON

660-890-0088 CLINTON MO NO NO10/19/200164735


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

262593 ST LOUIS RENAL CARE -

FOREST PARK


262594 ST LOUIS RENAL CARE - DES

PERES



RAYTOWN

816-353-3308 RAYTOWN MO NO NO05/20/200264133


PLATTE WOODS

816-746-6554 KANSAS CITY MO NO NO10/01/200264151


MIDTOWN



PRINCE HALL



PETERS

636-441-1607 SAINT PETERS MO NO NO02/12/200363376


LINCOLN COUNTY

636-462-2491 TROY MO YES NO02/14/200363379

262601 BRANSON DIALYSIS, LLC 417-334-4828 BRANSON MO YES NO06/23/200365616

262602 POTOSI DIALYSIS CENTERS 573-438-8100 POTOSI MO NO NO07/15/200363664

262603 METRO ST LOUIS DIALYSIS

CENTER, LLC


262604 PERRY COUNTY DIALYSIS

CENTERS

573-547-7290 PERRYVILLE MO YES NO06/18/200363775


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

262605 BRANSON DIALYSIS, LLC 417-335-5579 BRANSON MO NO NO12/20/200365616

262606 RTC-LAMPLIGHTER DIALYSIS 314-729-9797 SAINT LOUIS MO YES NO12/19/200363128

262607 RTC - HAMPTON AVENUE

DIALYSIS


262609 DIALYSIS TREATMENT CENTER

OF NORTH COUNTY


262610 RENAL CARE GROUP - NIXA 417-724-4117 NIXA MO NO NO09/07/200565714

262611 RTC COLUMBIA DIALYSIS 573-442-2057 COLUMBIA MO YES NO09/08/200565201

263300 CARDINAL GLENNON

CHILDRENS HOSPITAL

DIALYSIS


263300 CARDINAL GLENNON

CHILDRENS HOSPITAL


263301 SAINT LOUIS CHILDRENS

HOSPITAL DIALYSIS


263302 CHILDRENS MERCY HOSPITAL

DIALYSIS

816-234-4310 KANSAS CITY MO YES YES07/01/1985262326 64108

263302 CHILDRENS MERCY HOSPITAL 816-234-4310 KANSAS CITY MO NO YES07/01/1985262326 64108

263503 BLESSING HOSPITAL ESRD

CENTER

573-406-6016 HANNIBAL MO NO NO01/02/1997271 63401


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


PRIMROSE

417-875-5330 SPRINGFIELD MO YES NO09/01/1997307 65807


SOUTH

417-269-9708 SPRINGFIELD MO NO NO09/01/1997306 65807


MONETT

417-354-4111 MONETT MO NO NO04/17/1998298 65708

660001 COMMONWEALTH HEALTH

CENTER

670-234-4895 SAIPAN MP YES NO01/01/2005662300 96950

250001 UMC DEPARTMENT OF

PEDIATRIC NEPHROLOGY

601-984-4597 JACKSON MS YES YES09/01/1976252300 39216

250001 UNIVERSITY OF MS HOSPITAL 601-984-4506 JACKSON MS NO YES09/01/1976252300 39216

25043F VA-JACKSON 601-364-4126 JACKSON MS NO NO01/01/198039216

252501 RENAL CARE GROUP - JACKSON

NORTH

601-957-7199 JACKSON MS YES NO09/01/197639206

252502 HATTIESBURG CLINIC

DIALYSIS UNIT

601-296-6296 HATTIESBURG MS YES NO09/01/197639402


GREENVILLE

662-378-8245 GREENVILLE MS YES NO12/08/197538701


MERIDIAN

601-483-3060 MERIDIAN MS YES NO09/01/197639301

252505 FMC OF JACKSON 601-981-1965 JACKSON MS YES NO12/07/197739216


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


BROOKHAVEN

601-833-3972 BROOKHAVEN MS YES NO11/13/197839601


CLARKSDALE

662-627-7478 CLARKSDALE MS YES NO05/01/197938614


COLUMBUS

662-327-7920 COLUMBUS MS YES NO06/25/197939701


VICKSBURG

601-634-4605 VICKSBURG MS NO NO10/27/198039180

252510 LAUREL DIALYSIS CENTER 601-425-5185 LAUREL MS NO NO04/13/198139440

252511 RENAL CARE GROUP-OXFORD 662-234-4341 OXFORD MS NO NO03/01/198238655

252513 RENAL CARE GROUP-TUPELO 662-844-4000 TUPELO MS YES NO01/01/198338801


GREENWOOD

662-453-3520 GREENWOOD MS YES NO11/22/198238930


NATCHEZ

601-446-6806 NATCHEZ MS NO NO11/29/198239120


PASCAGOULA

228-762-2070 PASCAGOULA MS YES NO11/01/198239567

252517 PEARL RIVER DIALYSIS 601-798-8895 PICAYUNE MS NO NO02/09/198339466

252518 RENAL CARE GROUP-CORINTH 662-287-7957 CORINTH MS NO NO02/02/198338834


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


PHILADELPHIA

601-656-6028 PHILADELPHIA MS NO NO06/08/198339350

252521 RENAL CARE GROUP - CANTON 601-859-9338 CANTON MS YES NO01/23/198739046

252522 FMC OF CANTON 601-859-9228 CANTON MS NO NO03/23/198739046

252523 COLUMBIA DIALYSIS UNIT 601-731-1123 COLUMBIA MS NO NO01/06/198839429

252524 FMC OF SOUTHWEST JACKSON 601-371-1289 JACKSON MS NO NO02/24/198839204

252525 RENAL CARE GROUP - MCCOMB 601-684-4638 MCCOMB MS NO NO04/10/198939648


GRENADA

662-226-6822 GRENADA MS NO NO06/08/199038901


CLEVELAND

662-843-3696 CLEVELAND MS YES NO09/19/199038732

252529 FMC OF MAGEE 601-849-9305 MAGEE MS NO NO08/20/199139111

252530 RENAL CARE GROUP-ABERDEEN 662-369-9614 ABERDEEN MS NO NO05/24/199139730

252531 RENEX DIALYSIS-PORT GIBSON 601-437-7370 PORT GIBSON MS NO NO04/22/199239150

252532 RENAL CARE GROUP - NEWTON 601-683-3948 NEWTON MS NO NO05/01/199239345


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

252533 RENEX DIALYSIS-JACKSON 601-373-3789 JACKSON MS YES NO06/18/199239204

252534 WAYNESBORO DIALYSIS UNIT 601-735-5585 WAYNESBORO MS NO NO07/22/199239367

252535 RENAL CARE GROUP - JACKSON

SOUTH

601-373-3915 JACKSON MS NO NO08/31/199239204

252536 FMC OF YAZOO CITY 662-746-6417 YAZOO CITY MS NO NO10/19/199239194

252537 FMC OF FOREST 601-469-9339 FOREST MS NO NO01/11/199339074


STARKVILLE

662-324-4830 STARKVILLE MS NO NO07/16/199339759


LEXINGTON

662-834-4335 LEXINGTON MS NO NO09/17/199339095

252541 RENAL CARE GROUP-EUPORA 662-258-8652 EUPORA MS NO NO12/02/199339744


INDIANOLA

662-887-7515 INDIANOLA MS NO NO05/16/199438751

252543 FMC BILOXI S. MS KIDNEY

CENTER

228-436-6920 BILOXI MS YES NO04/01/199439530

252545 RENAL CARE GROUP-HOLLY

SPRINGS

662-252-2621 HOLLY SPRINGS MS NO NO06/08/199438635

252546 WIGGINS DIALYSIS UNIT 601-928-8299 WIGGINS MS NO NO07/08/199439577


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

252547 FMC ORANGE GROVE S. MS

KIDNEY CENTER

228-832-2929 GULFPORT MS NO NO09/07/199439503

252548 FMC OF KOSCIUSKO 662-289-9300 KOSCIUSKO MS NO NO04/01/199539090


BRANDON

601-824-4976 BRANDON MS NO NO04/29/199639042

252550 MID-DELTA KIDNEY CTR, INC. 662-332-2710 GREENVILLE MS YES NO12/18/199638701


HAZLEHURST

601-894-4550 HAZLEHURST MS YES NO12/10/199739083


SOUTHAVEN

662-349-9254 SOUTHAVEN MS YES NO12/17/199738671

252553 FMC OF HAZLEHURST 601-894-4130 HAZLEHURST MS NO NO03/06/199839083

252554 BAY SPRINGS DIALYSIS UNIT 601-764-4642 BAY SPRINGS MS NO NO08/05/199839422


MAYERSVILLE

662-873-3227 MAYERSVILLE MS YES NO10/02/199839113


LUCEDALE

601-947-7870 LUCEDALE MS NO NO10/12/199839452

252557 RENAL CARE GROUP-SARDIS 662-487-7393 SARDIS MS NO NO07/01/199938666

252558 COLLINS DIALYSIS UNIT 601-765-5271 COLLINS MS NO NO08/20/199939428


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

252559 TYLERTOWN DIALYSIS UNIT 601-222-2031 TYLERTOWN MS NO NO01/10/200039667

252560 RENAL CARE GROUP - MACON 662-726-6986 MACON MS NO NO02/21/200039341

252561 RICHTON DIALYSIS UNIT 601-788-8255 RICHTON MS NO NO05/05/200039476

252562 FMC OF CARTHAGE 601-267-7685 CARTHAGE MS NO NO07/12/200039051

252563 FMC NORTH GULFPORT S. MS

KIDNEY CENTER

228-864-4117 GULFPORT MS NO NO10/11/200039501

252564 RENAL CARE

GROUP-CENTREVILLE

601-645-5909 CENTREVILLE MS NO NO12/01/200039631

252565 FMC D IBERVILLE S. MS

KIDNEY CENTER

228-392-2130 D'IBERVILLE MS NO NO05/16/200139532


LOUISVILLE

662-773-3656 LOUISVILLE MS NO NO10/31/200139339

252567 RENAL CARE GROUP - TUNICA 662-363-3262 TUNICA MS NO NO07/31/200238676

252568 FMC RANKIN COUNTY 601-591-1005 BRANDON MS NO NO03/14/200339042

253503 MEDICAL MALL DIALYSIS 601-815-5634 JACKSON MS YES NO07/17/200339213

270003 ST PETERS HOSPITAL DIALYSIS

UNIT

406-444-4228 HELENA MT YES NO07/14/1977272300 59601


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

270004 NORTHERN ROCKIES KIDNEY

CENTER

406-657-7410 BILLINGS MT YES NO07/14/1977272301 59107

270013 BENEFIS DIALYSIS CENTER 406-455-5396 GREAT FALLS MT YES NO07/14/1977272302 59405

270014 ST PATRICK HOSPITAL

MISSOULA DIALYSIS CENTER

406-327-7175 MISSOULA MT YES NO07/14/1977272303 59802

270032 NORTHERN MONTANA

HOSPITAL DIALYSIS UNIT

406-262-2147 HAVRE MT NO NO11/30/1995272305 59501

272500 FT PECK TRIBAL DIALYSIS UNIT 406-768-8546 POPLAR MT NO NO03/18/198859255

272502 DCI BILLINGS 406-252-2927 BILLINGS MT YES NO11/29/199559102

272503 BOZEMAN DIALYSIS CENTER 406-585-5509 BOZEMAN MT NO NO03/25/199859715

272504 DCI BLACKFEET 406-338-8747 BROWNING MT NO NO07/28/199859417

272505 DCI LIBBY 406-293-3991 LIBBY MT NO NO12/01/199959923

272506 DCI KALISPELL 406-756-6556 KALISPELL MT YES NO12/01/199959901

273501 ST PATRICK BUTTE DIALYSIS

CENTER

406-723-3250 BUTTE MT NO NO01/04/199059701

273504 ABSALOKA HEALTH CENTER 406-638-8214 CROW AGENCY MT NO NO08/26/199659022


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

340030 DUKE UNIVERSITY MEDICAL

CENTER TRANSPLANT

PROGRAM

919-684-4585 DURHAM NC NO YES09/01/197627710

340040 PITT COUNTY MEMORIAL

HOSPITAL TRANSPLANT

PROGRAM

252-744-4299 GREENVILLE NC NO YES09/01/197627834

340047 WFU BAPTIST MEDICAL CENTER

DIALYSIS UNIT

336-716-6317 WINSTON SALEM NC YES YES09/01/197627157

340047 WFU BAPTIST MEDICAL CENTER

TRANSPLANT PROGRAM

336-716-6054 WINSTON SALEM NC NO YES09/01/197627157

340051 WATAUGA KIDNEY DIALYSIS

FACILITY

828-265-5505 BOONE NC NO NO05/01/198928607

340061 UNC HOSPITAL TRANSPLANT

PROGRAM

919-966-6081 CHAPEL HILL NC NO YES12/01/197627514

340064 WILKES REGIONAL DIALYSIS

CENTER

336-667-7376 NORTH

WILKESBORO

NC NO NO06/15/1995342313 28659

340113 CAROLINAS MEDICAL CENTER

RENAL TRANSPLANT PROGRAM

704-355-5664 CHARLOTTE NC NO YES05/01/197028232

34012F VA MEDICAL CENTER DURHAM

DIALYSIS

919-286-6697 DURHAM NC YES NO01/01/196727705

342502 BMA OF PITT COUNTY INC 252-752-2152 GREENVILLE NC YES NO09/01/197627834

342503 METROLINA KIDNEY CENTER

CHARLOTTE

704-348-8295 CHARLOTTE NC YES NO09/01/197628204

342504 GREENSBORO KIDNEY CENTER 336-375-5140 GREENSBORO NC YES NO09/01/197627405


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

342505 PIEDMONT DIALYSIS CENTER 336-721-1136 WINSTON SALEM NC YES NO09/01/197627101

342506 ASHEVILLE KIDNEY CENTER

INC

828-258-8970 ASHEVILLE NC NO NO09/01/197628801

342507 GAMBRO HEALTHCARE WILSON 252-291-1841 WILSON NC YES NO09/01/197627893

342509 BMA OF LENOIR INC 828-754-4532 LENOIR NC YES NO08/01/197728645

342510 FAYETTEVILLE KIDNEY CENTER 910-323-3528 FAYETTEVILLE NC YES NO12/19/197728304

342511 SE DIALYSIS WILMINGTON

DAVITA FACILITY

910-343-3066 WILMINGTON NC YES NO03/26/197928401

342512 RALEIGH DIALYSIS CLINIC INC 919-231-1314 RALEIGH NC YES NO10/01/198027610


GASTONIA

704-864-4886 GASTONIA NC YES NO11/01/198028054

342514 HIGH POINT KIDNEY CENTER

INC

336-889-9920 HIGH POINT NC YES NO09/01/198227262


ELIZABETH CITY

252-338-8221 ELIZABETH CITY NC YES NO03/06/198227909


HICKORY

828-324-4958 HICKORY NC YES NO08/12/198328602

342517 BMA OF ROCKY MOUNT INC 252-443-3980 ROCKY MOUNT NC YES NO11/18/198327804


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

342518 FMC OF KINSTON DIALYSIS

UNIT

252-522-2572 KINSTON NC YES NO02/01/198528504


CONCORD

704-782-2415 CONCORD NC NO NO08/20/198528025

342520 NEUSE RIVER DIALYSIS

CENTER

919-603-3180 OXFORD NC NO NO03/14/198627565

342521 SOUTHEASTERN DIALYSIS

DAVITA WHITEVILLE

910-642-2023 WHITEVILLE NC NO NO04/01/198628472

342522 FMC WAKE DIALYSIS CLINIC 919-876-6750 RALEIGH NC YES NO07/07/198627609


CHARLOTTE

704-542-2949 CHARLOTTE NC NO NO08/04/198628226

342524 BMA OF ASHEBORO INC 336-626-6046 ASHEBORO NC NO NO10/02/198627205


MONROE

704-289-9840 MONROE NC NO NO10/09/198628112

342526 GAMBRO HEALTHCARE UNION

COUNTY

704-283-3005 MONROE NC YES NO11/24/198628112

342527 STATESVILLE DIALYSIS

CENTER INC

704-872-2014 STATESVILLE NC YES NO12/15/198628625

342528 FMC LUMBERTON DIALYSIS

UNIT

910-738-8242 LUMBERTON NC NO NO12/19/198628358

342529 DCI SHELBY INC 704-481-1840 SHELBY NC YES NO12/31/198628150


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


GOLDSBORO

919-734-4141 GOLDSBORO NC YES NO02/17/198827534

342532 SOUTHEASTERN DIALYSIS /

JACKSONVILLE

910-353-3688 JACKSONVILLE NC NO NO03/01/198828546

342533 BMA OF BURLINGTON INC 336-524-4898 BURLINGTON NC NO NO03/16/198827215

342534 BMA OF NEW BERN INC 252-633-3630 NEW BERN NC YES NO04/20/198828562


KENANSVILLE

910-296-6074 KENANSVILLE NC NO NO05/08/198828349

342536 DIALYSIS CARE OF

ROCKINGHAM COUNTY INC

336-623-3790 EDEN NC YES NO04/22/198827288

342537 BMA OF SOUTH GREENSBORO

INC

336-271-1817 GREENSBORO NC NO NO08/15/198927406

342538 FREEDOM LAKE DIALYSIS

CENTER

919-471-1171 DURHAM NC NO NO10/12/198827704

342539 DIALYSIS CARE OF RICHMOND

COUNTY INC

910-582-2582 HAMLET NC YES NO10/11/198828345

342540 FMCNA LAURINBURG DIALYSIS

CENTER

910-276-6666 LAURINBURG NC YES NO12/07/198828352


EDENTON

252-482-2519 EDENTON NC NO NO01/19/198927932

342542 BMA OF ROANOKE RAPIDS INC 252-535-5100 ROANOKE RAPIDS NC YES NO02/01/198927870


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


HENDERSON

252-492-2423 HENDERSON NC YES NO03/15/198927536

342544 CARY KIDNEY CENTER 919-462-2097 CARY NC NO NO05/08/198927511

342545 SMITHFIELD KIDNEY CENTER 919-963-3221 FOUR OAKS NC NO NO06/05/198927524

342546 DIALYSIS CARE OF ROWAN

COUNTY INC

704-637-7210 SALISBURY NC YES NO07/31/198928144

342547 BMA OF WINDSOR INC 252-794-4504 WINDSOR NC NO NO09/18/198927983


CHARLOTTE


342549 FMC OF NORTH CHARLOTTE 704-596-6068 CHARLOTTE NC NO NO03/23/199028213


DURHAM

919-682-2969 DURHAM NC NO NO03/06/199027701

342551 MOUNT AIRY DIALYSIS CENTER 336-789-9409 MOUNT AIRY NC NO NO07/23/199027030


MECKLENBURG COUNTY INC


342553 LEXINGTON DIALYSIS CENTER 336-248-8680 LEXINGTON NC NO NO09/18/199027292


WEST CHARLOTTE



Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

342555 DIALYSIS CARE OF MOORE

COUNTY INC

910-295-5212 PINEHURST NC YES NO11/29/199028374

342556 SYLVA DIALYSIS CENTER 828-586-6334 SYLVA NC YES NO08/21/199128779

342557 DUNN KIDNEY CENTER INC 910-892-2781 DUNN NC YES NO12/19/199128334


BURGAW

910-259-9992 BURGAW NC NO NO03/01/199228425

342559 BMA OF CLINTON INC 910-592-2160 CLINTON NC NO NO06/01/199228328

342560 DIALYSIS CARE OF ANSON

COUNTY

704-694-4554 WADESBORO NC NO NO10/01/199228170

342561 BMA OF PAMILICO 252-975-5595 WASHINGTON NC NO NO01/12/199327889


ROXBORO

336-330-0073 ROXBORO NC YES NO05/12/199327573

342563 BMA OF BURKE COUNTY INC 828-439-9848 MORGANTON NC NO NO06/28/199328655

342564 DAVITA HENDERSONVILLE

DIALYSIS CENTER

828-693-3655 HENDERSONVILLE NC NO NO10/04/199328792

342565 BMA OF ALBEMARLE INC 704-982-2694 ALBEMARLE NC NO NO12/03/199328001

342566 DAVITA DIALYSIS OF

RUTHERFORD COUNTY INC

828-248-8366 FOREST CITY NC YES NO02/09/199428043


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

342567 BURLINGTON REGIONAL

DIALYSIS

336-570-0349 BURLINGTON NC YES NO03/01/199427215

342568 METROLINA KIDNEY

CENTER/LINCOLNTON

704-736-6930 LINCOLNTON NC NO NO05/18/199428092

342569 SALEM KIDNEY CENTER 336-761-1880 WINSTON SALEM NC NO NO06/13/199427101


(AHOSKIE)

252-332-2389 AHOSKIE NC NO NO06/24/199427910

342571 DIALYSIS CARE OF FRANKLIN

COUNTY INC

919-496-6030 LOUISBURG NC YES NO07/08/199427549

342572 JOHNSTON DIALYSIS CENTER

INC

919-934-4918 SMITHFIELD NC YES NO09/21/199427577

342573 GAMBRO HEALTHCARE MOUNT

OLIVE

919-658-8087 MOUNT OLIVE NC NO NO10/05/199428365

342576 RAI CARE CENTERS

GOLDSBORO



EDGECOMBE COUNTY

252-641-1900 TARBORO NC YES NO01/06/199527886


ELIZABETHTOWN

910-862-2702 ELIZABETHTOWN NC NO NO01/27/199528337

342579 DIALYSIS CARE OF HOKE

COUNTY INC

910-875-5656 RAEFORD NC YES NO05/05/199528376

342581 BMA OF BEATTIES FORD INC 704-394-4733 CHARLOTTE NC NO NO06/06/199528216


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


SHALLOTTE

910-754-4556 SHALLOTTE NC NO NO07/05/199528470


MONTGOMERY COUNTY INC

910-576-6242 BISCOE NC NO NO07/17/199527209

342584 DIALYSIS CARE OF MARTIN

COUNTY INC

252-792-2238 WILLIAMSTON NC YES NO01/12/199627892

342585 FMC DIALYSIS OF CRAVEN

COUNTY

252-633-3337 NEW BERN NC NO NO11/18/199628560

342586 RICH SQUARE DIALYSIS

CENTER

252-539-9221 RICH SQUARE NC NO NO12/16/199627869


GOLDSBORO SOUTH


342588 BMA OF CRYSTAL COAST INC 252-808-8044 MOREHEAD CITY NC YES NO02/24/199728557

342589 BMA OF ZEBULON INC 919-269-9888 ZEBULON NC NO NO03/26/199727597

342590 WEST PETTIGREW DIALYSIS

CENTER

919-286-6477 DURHAM NC YES NO04/28/199727705


CHARLOTTE


342592 DIALYSIS OF KANNAPOLIS 704-933-3080 KANNAPOLIS NC YES NO12/19/199728081

342593 DIALYSIS SERVICES NORTH

RAMSEY

910-482-2349 FAYETTEVILLE NC NO NO11/16/199828311


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

342594 BMA NATIONS FORD 704-552-2910 CHARLOTTE NC NO NO04/26/199928273

342595 BMA KINGS MOUNTAIN 704-730-0127 KINGS MOUNTAIN NC NO NO05/28/199928086

342596 FMC DIALYSIS SERVICES EAST

CAROLINA UNIVERSITY

252-329-9800 GREENVILLE NC YES NO05/26/199927834

342597 RENAL CARE GROUP CASWELL 336-694-4108 YANCEYVILLE NC NO NO06/30/199927379

342598 DARE COUNTY DIALYSIS 252-475-5353 MANTEO NC NO NO08/09/199927954

342599 TRIAD DIALYSIS CENTER 336-454-4007 HIGH POINT NC YES NO09/22/199927265

342600 BMA OF SOUTHWEST

GREENSBORO

336-854-4780 JAMESTOWN NC NO NO10/06/199927282


SOUTH RAMSEY


342602 CHEROKEE DIALYSIS CENTER 828-497-7686 CHEROKEE NC NO NO04/27/200028719

342603 BMA OF EAST ROCKY MOUNT 252-442-2631 ROCKY MOUNT NC NO NO03/29/200027801

342604 WEAVERVILLE DIALYSIS

CENTER

828-658-8144 WEAVERVILLE NC YES NO05/10/200028787

342605 BMA EAST CHARLOTTE 704-334-4222 CHARLOTTE NC NO NO07/07/200028205


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

342606 LAKE NORMAN DIALYSIS

CENTER

704-799-9186 MOORESVILLE NC NO NO08/18/200028117

342607 RED SPRINGS DIALYSIS

CENTER

910-843-3931 RED SPRINGS NC YES NO02/02/200128377

342608 FUQUAY VARINA KIDNEY

CENTER

919-552-2192 FUQUAY VARINA NC NO NO02/08/200127526

342609 FMC VERNON DIALYSIS UNIT 252-522-2100 KINSTON NC NO NO03/05/200128504


WARREN HILLS

252-257-7042 WARRENTON NC NO NO09/24/200127589

342611 DIALYSIS CLINIC INC KINGS

MOUNTAIN

704-481-1840 KINGS MOUNTAIN NC NO NO10/10/200128086

342612 NORTHSIDE DIALYSIS CENTER 336-744-4057 WINSTON SALEM NC NO NO10/19/200127105

342613 BMA NORTHWEST

GREENSBORO KIDNEY CENTER


342614 ELKIN DIALYSIS CENTER 336-527-7472 ELKIN NC NO NO12/21/200128621


BRIGGS AVENUE

919-598-8999 DURHAM NC NO NO02/04/200227703


DURHAM WEST

919-384-4071 DURHAM NC NO NO05/14/200227705

342617 CAROLINA

DIALYSIS-PITTSBORO

919-545-5001 PITTSBORO NC NO NO05/31/200227312


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


PLYMOUTH

252-793-3630 PLYMOUTH NC NO NO07/15/200227962

342619 HALIFAX COUNTY DIALYSIS

CENTER

252-826-6572 SCOTLAND NECK NC NO NO08/29/200227874

342620 CAROLINA DIALYSIS SANFORD 919-718-8068 SANFORD NC YES NO07/01/200227330

342621 CAROLINA DIALYSIS SILER

CITY

919-742-2214 SILER CITY NC NO NO07/01/200227344

342622 CAROLINA DIALYSIS

CARRBORO

919-966-6435 CARRBORO NC YES NO07/01/200227510

342623 FMC OF ROBESON COUNTY 910-628-8689 FAIRMONT NC NO NO10/18/200228340

342624 MADISON DIALYSIS CENTER 336-548-8740 MADISON NC NO NO11/27/200227025


JONES COUNTY

252-448-8457 TRENTON NC NO NO12/11/200228585

342626 SWANNANOA DIALYSIS

CENTER

828-686-6172 SWANNANOA NC NO NO01/27/200328778


CHARLOTTE EAST


342628 DAVITA DIALYSIS OF

CHADBOURN

910-654-4319 CHADBOURN NC NO NO01/14/200328431

342629 DAVITA WAYNESVILLE

DIALYSIS CENTER

828-627-7290 CLYDE NC NO NO05/19/200328721


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

342630 RAI CARE CENTERS WARSAW 910-293-3998 WARSAW NC NO NO09/12/200328398

342631 COPPERFIELD DIALYSIS 704-795-5755 CONCORD NC NO NO10/29/200328025


AYDEN

252-746-6962 AYDEN NC NO NO12/01/200328513

342633 KING DIALYSIS CENTER 336-985-5353 KING NC NO NO01/02/200427021

342634 EAST GREENSBORO KIDNEY

CENTER


342635 FRESENIUS MEDICAL SERVICES

OF CATAWBA VALLEY

828-464-4383 CONOVER NC NO NO12/29/200328613

342636 WEST IREDELL DIALYSIS

CENTER

704-881-1033 STATESVILLE NC NO NO12/31/200328625

342637 GAMBRO HEALTHCARE FOREST

HILLS

252-237-7023 WILSON NC NO NO03/10/200427893

342638 SOUTHERN PINES DIALYSIS

CENTER

910-692-2621 SOUTHERN PINES NC NO NO06/28/200428387

342639 THOMASVILLE DIALYSIS

CENTER

336-472-2450 THOMASVILLE NC NO NO08/23/200427360

342640 DAVITA DIALYSIS CENTER

REIDSVILLE

336-348-8685 REIDSVILLE NC YES NO06/14/200427320

342641 ROCKINGHAM KIDNEY CENTER 336-616-6161 REIDSVILLE NC NO NO11/10/200427320


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

342642 FMCNA SOUTHWEST WAKE

DIALYSIS

919-771-1102 RALEIGH NC NO NO12/22/200427603


OF WEST FAYETTEVILLE



SPRING HOPE

252-478-8409 SPRING HOPE NC NO NO01/26/200527882

342645 MCDOWELL COUNTY DIALYSIS 828-659-9979 MARION NC YES NO02/14/200528752

342646 FMC OF CAPITAL CITY 919-231-1370 RALEIGH NC NO NO04/18/200527610

343504 DUKE UNIVERSITY MEDICAL

CENTER DIALYSIS UNIT

919-684-4301 DURHAM NC NO NO01/01/200627705

350002 ST ALEXIUS MEDICAL CENTER 701-530-0835 BISMARCK ND YES NO09/01/1977352300 58501

350011 MERITCARE HOSPITAL

TRANSPLANT

701-234-4671 FARGO ND NO YES06/08/198958123

350015 MEDCENTER ONE DIALYSIS 701-323-3620 BISMARCK ND YES YES09/26/198858501

350015 MEDCENTER ONE TRANSPLANT 701-323-3621 BISMARCK ND NO YES09/26/198858501

350019 ALTRU HOSPITAL 701-780-0587 GRAND FORKS ND YES NO08/18/1977352302 58201

350043 TRINITY HOSPITAL 701-857-7540 MINOT ND YES NO04/01/1979352303 58701


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

352500 THREE AFFILIATED TRIBES

DIALYSIS

701-627-7484 NEW TOWN ND NO NO04/21/199558763

352501 THE KIDNEY INSTITUTE OF

NORTH DAKOTA

701-795-5130 GRAND FORKS ND YES NO06/04/200358201

353501 ST JOSEPHS HOSPITAL 701-456-6461 DICKINSON ND NO NO03/14/198858601

353502 MERCY HOSPITAL - WILLISTON 701-774-4418 WILLISTON ND NO NO03/14/198858801

353503 TRINITY SAT - BELCOURT

DIALYSIS

701-477-7591 BELCOURT ND YES NO08/03/199058316

353504 MEDCENTER ONE SAT -

JAMESTOWN

701-253-3487 JAMESTOWN ND NO NO12/16/199158401

353505 MEDCENTER ONE SAT - FORT

YATES IHS

701-854-4755 FORT YATES ND NO NO06/23/199258538

353506 ALTRU DIALYSIS SAT AT

MERCY HOSP

701-662-2967 DEVILS LAKE ND NO NO03/24/199758301

353507 MERITCARE DIALYSIS - FARGO 701-280-0449 FARGO ND YES NO02/19/2002350011 58103

280013 UNIVERSITY HOSPITAL

TRANSPLANT ESRD

402-552-2244 OMAHA NE NO YES08/29/1988282310 68198

280039 YORK GENERAL DIALYSIS

SERVICES

402-363-3663 YORK NE NO NO03/03/2004282318 68467


OMAHA

402-346-6880 OMAHA NE NO NO05/01/1988165 68105


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

280118 BOX BUTTE DIALYSIS UNIT 308-762-2666 ALLIANCE NE NO NO12/28/2000282314 69301

280125 NORTHEAST NEBRASKA

DIALYSIS CENTER

402-644-4759 NORFOLK NE NO NO10/10/1996282304 68701

281329 AVERA ST ANTHONYS

HOSPITAL ESRD

402-336-6261 ONEILL NE NO NO08/06/200268763

281341 CHADRON COMMUNITY

HOSPITAL DIALYSIS

308-432-2558 CHADRON NE NO NO04/04/2001282313 69337

281344 CHERRY COUNTY HOSPITAL

DIALYSIS UNIT

402-376-6252 VALENTINE NE NO NO08/19/200269201

282500 DIALYSIS CENTER OF LINCOLN 402-489-9533 LINCOLN NE YES NO10/14/198779 68510

282501 HASTING DIALYSIS CENTER 402-463-3489 HASTINGS NE YES NO05/02/198990 68901


SCOTTSBLUFF

308-630-0081 SCOTTSBLUFF NE NO NO06/01/197775 69361

282503 CAPITAL CITY DIALYSIS 402-466-6512 LINCOLN NE YES NO01/21/1993191 68503


OMAHA

402-342-2019 OMAHA NE YES NO03/01/1993195 68131


OMAHA WEST

402-445-5895 OMAHA NE YES NO05/17/1996237 68154

282507 DIALYSIS CLINICS, INC - WEST

OMAHA

402-493-3933 OMAHA NE NO NO06/21/1996250 68164


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

282508 RAI CARE CENTER - FREMONT 402-753-3945 FREMONT NE NO NO11/26/1996266 68025


COLUMBUS

402-563-3213 COLUMBUS NE YES NO08/14/1997282 68601


BEATRICE

402-228-8472 BEATRICE NE NO NO11/30/1998327 68310


OMAHA SOUTH

402-733-3577 OMAHA NE NO NO12/28/1998329 68107


FREMONT

402-721-1700 FREMONT NE NO NO03/03/1999330 68025

282513 DIALYSIS CENTER OF LINCOLN

NORTHWEST

402-438-8733 LINCOLN NE NO NO02/25/200068521


OMAHA NORTH

402-453-3047 OMAHA NE NO NO07/08/200068104

282515 OVERLAND TRAILS RENAL

CARE GROUP, LLC

308-233-3501 KEARNEY NE YES NO09/11/200068847


OMAHA CENTRAL

402-558-8081 OMAHA NE YES NO02/05/200168131

282517 MCCOOK DIALYSIS CENTER 308-345-5191 MCCOOK NE YES NO07/25/200269001


PAPILLION

402-991-1115 PAPILLION NE NO NO01/08/200368046


PLATTE

308-696-6094 NORTH PLATTE NE YES NO09/30/200369101


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

282520 RAI CARE CENTER 402-558-8328 OMAHA NE YES NO11/01/200368105

282521 RAI CARE CENTER - BAKER

PLACE

402-451-1775 OMAHA NE NO NO11/01/200368104

282522 GRAND ISLAND DIALYSIS 308-385-5627 GRAND ISLAND NE NO NO11/01/200368803

282523 KIDNEY DIALYSIS CENTER OF

GRAND ISLAND, LLC

308-384-4960 GRAND ISLAND NE YES NO07/02/200468803

282524 DIALYSIS CLINIC, INC 402-934-4956 BELLEVUE NE NO NO07/16/200468123

282525 CARL T CURTIS HEALTH

EDUCATION CENTER DIALYSIS

402-837-7538 MACY NE NO NO08/27/200468039

300003 DARTMOUTH HITCHCOCK

MEDICAL CENTER -

TRANSPLANT

603-653-3393 LEBANON NH NO YES06/09/199203756

302500 NEW HAMPSHIRE KIDNEY

CENTER (FMC)

603-224-4999 CONCORD NH YES NO08/31/197703301

302501 SEACOAST DIALYSIS 603-436-6456 PORTSMOUTH NH YES NO11/13/198103801

302502 MANCHESTER KIDNEY CENTER 603-647-7404 MANCHESTER NH YES NO06/06/198803103

302503 CENTRAL NEW HAMPSHIRE

KIDNEY CENTER

603-528-8373 LACONIA NH YES NO02/16/199003246

302504 MONADNOCK DIALYSIS

CENTER

603-357-7360 KEENE NH YES NO05/21/199703431


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

302505 SOMERSWORTH DIALYSIS

CENTER (BMA OF NEW

HAMPSHIRE)

603-742-2480 SOMERSWORTH NH YES NO09/26/199803878


EXETER

603-777-7993 EXETER NH YES NO06/21/200003833


NASHUA

603-598-8166 NASHUA NH YES NO02/01/200203061


LANCASTER

603-788-8522 LANCASTER NH NO NO01/25/200603584


LEBANON

603-653-3932 LEBANON NH YES NO01/25/200603756

310001 HACKENSACK MEDICAL

CENTER

201-996-6280 HACKENSACK NJ YES YES09/01/1977312300 07601

310002 NEWARK BETH ISRAEL

MEDICAL CENTER

973-926-6760 NEWARK NJ YES YES09/01/1977312301 07112

310002 NEWARK BETH ISRAEL MC

TRANSPLANT

973-926-6755 NEWARK NJ NO YES09/01/197707112

310008 HOLY NAME HOSPITAL 201-833-3337 TEANECK NJ YES NO09/01/1977312302 07666

310012 THE VALLEY HOSPITAL RENAL

CARE CENTER

201-447-7815 RIDGEWOOD NJ NO NO03/23/1999312333 07450

310015 MORRISTOWN MEMORIAL

HOSPITAL

973-971-1512 MORRISTOWN NJ YES NO09/01/1977312303 07962

310017 CHILTON HOSPITAL 973-831-1547 POMPTON PLAINS NJ NO NO12/04/1995312327 07444


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

310019 ST JOSEPH HOSP MEDICAL

CENTER

973-754-4357 PATERSON NJ NO NO09/01/1977312304 07503

31001F VETERANS MEDICAL CENTER

EAST ORANGE

973-676-6100 EAST ORANGE NJ YES NO01/01/197407018

310025 BAYONNE HOSPITAL RENAL

CENTER

201-858-8535 BAYONNE NJ NO NO07/16/1990312324 07002

310027 TRINITAS HOSPITAL 908-994-4520 ELIZABETH NJ YES NO12/24/1999312318 07207

310029 OUR LADY OF LOURDES

MEDICAL CENTER

856-757-7377 CAMDEN NJ YES YES09/01/1977312305 08103

310029 OUR LADY OF LOURDES MC

TRANSPLANT

856-757-7384 CAMDEN NJ NO YES09/01/197708103

310032 BRIDGETON SOUTH JERSEY

HOSPITAL

856-641-1780 BRIDGETON NJ YES NO12/27/1988312320 08302

310034 RIVERVIEW MEDICAL CENTER 732-530-0223 RED BANK NJ NO NO12/27/1990312325 07701

310038 RW JOHNSON UNIVERSITY

HOSPITAL DIALYSIS

732-937-7869 NEW BRUNSWICK NJ NO YES02/10/1987312317 08903

310047 SHORE MEMORIAL HOSPITAL 609-653-3351 SOMERS POINT NJ YES NO10/01/1978312307 08244

310052 OCEAN CO MEDICAL CENTER

BRICK

732-206-6820 BRICK NJ YES NO01/06/1995312326 08724

310054 MOUNTAINSIDE HOSPITAL 973-429-9676 MONTCLAIR NJ YES NO11/09/1996312331 07042


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

310064 ATLANTIC CITY MEDICAL

CENTER

609-441-1894 ATLANTIC CITY NJ YES NO08/31/1989312323 08401

310073 JERSEY SHORE MEDICAL

CENTER

732-776-6427 NEPTUNE NJ YES NO09/01/1977312309 07754

310074 JERSEY CITY MEDICAL CENTER 201-915-5239 JERSEY CITY NJ YES NO09/01/1977312310 07302

310075 MONMOUTH MEDICAL CENTER 732-923-3687 LONG BRANCH NJ NO NO09/01/1977312311 07740

310076 ST BARNABAS MEDICAL CNTR

TRANSPL

888-409-9470 LIVINGSTON NJ NO YES09/01/197707039

310077 PBI REGIONAL MEDICAL

CENTER

973-365-5468 PASSAIC NJ NO NO03/13/1996312329 07055

310083 EA ORANGE GEN HOSPITAL 973-395-5403 EAST ORANGE NJ NO NO09/01/1977312314 07017

310086 KENNEDY HOSPITAL

WASHINGTON

856-218-8499 SEWELL NJ NO NO02/26/1996312328 08080

310092 H. FULD CAPITAL HEALTH 609-394-4600 TRENTON NJ YES NO01/01/1998312315 08638

310096 ST MICHAEL MEDICAL CENTER 973-877-7509 NEWARK NJ YES NO09/01/1977312316 07102

312501 FMC IRVINGTON 973-399-9111 IRVINGTON NJ YES NO09/01/197707111

312502 FMC JERSEY CITY 201-451-1376 JERSEY CITY NJ YES NO07/01/197307304


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

312503 FMC PINE BROOK 973-412-2006 NEWARK NJ YES NO09/01/197707107

312504 FMC TRENTON 609-394-4510 TRENTON NJ NO NO10/01/197808638

312505 FMC NEWARK UNIVERSITY DC

(MIELE)

973-624-4710 NEWARK NJ YES NO01/21/199807103

312506 FMC HILLSIDE 908-964-4560 UNION NJ NO NO03/31/198007083

312508 GAMBRO BURLINGTON COUNTY 609-261-1044 LUMBERTON NJ YES NO07/01/199708048

312509 RCG RENAL INST CENTRAL

JERSEY TOMS RIVER

732-505-5063 TOMS RIVER NJ YES NO07/29/199708757

312510 GAMBRO HOLMDEL 732-739-9667 HOLMDEL NJ YES NO07/01/199707733

312513 GAMBRO CHERRY HILL 856-321-1011 CHERRY HILL NJ YES NO04/12/199608034

312514 RCG SALEM DC 856-339-9628 SALEM NJ NO NO11/01/200008079

312515 FMC SO PLAINFIELD 908-668-8800 SOUTH PLAINFIELD NJ NO NO10/31/199407080

312516 FMC PRINCETON 609-520-0899 PRINCETON NJ YES NO11/15/199408540

312517 GAMBRO FREEHOLD AKC 732-303-3158 MANALAPAN NJ NO NO07/01/199707726


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

312518 FMC COLONIA 732-382-2733 COLONIA NJ YES NO04/18/199507067

312519 FMC MORRIS HOME 973-984-4044 PARSIPPANY NJ YES NO01/08/200107054

312520 GAMBRO NEPTUNE AKC 732-918-8181 NEPTUNE NJ YES NO07/01/199707753

312521 GAMBRO DELRAN 856-764-4080 DELRAN NJ NO NO07/01/199708075

312522 GAMBRO EAST ORANGE AKC 973-677-7711 EAST ORANGE NJ YES NO07/01/199707019

312523 PV/LILLIAN BOOTH DC 201-664-4664 WESTWOOD NJ YES NO06/02/199507675

312524 FMC HOLY NAME HOME

DIALYSIS

201-692-2137 TEANECK NJ YES NO01/08/200107666

312525 DCI NORTH BRUNSWICK 732-940-0446 NORTH

BRUNSWICK

NJ YES NO06/01/199508902

312527 BELMONT COURT EWING

DIALYSIS CENTER

609-671-1160 EWING NJ NO NO08/22/199508618

312528 GAMBRO SUMMIT DIALYSIS

CENTER

908-232-2780 MOUNTAINSIDE NJ YES NO01/01/200007092

312529 FMC HOBOKEN 201-656-6750 HOBOKEN NJ NO NO09/13/199507030

312530 DAVITA BRIDGEWATER 732-469-9720 BOUND BROOK NJ YES NO10/09/200008805


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

312531 NO JERSEY LINCOLN PK 973-872-2009 LINCOLN PARK NJ YES NO01/08/200107035

312532 RCG ST. BARNABAS UNION DC 908-206-6227 UNION NJ NO NO03/27/199607083

312533 RCG ORANGE DC 973-675-5340 ORANGE NJ NO NO02/15/200007050

312534 RCG WOODBURY DC 856-853-3873 DEPTFORD NJ YES NO02/15/200008096

312535 DAVITA ATLANTIC CITY 609-344-4449 ATLANTIC CITY NJ NO NO10/09/200008401

312536 FMC ENGLEWOOD DIALYSIS

CENTER

201-541-1815 ENGLEWOOD NJ YES NO01/08/200107631

312537 DAVITA ATLANTIC AKC 732-460-0141 EATONTOWN NJ YES NO10/09/200007724

312538 RCG SO OCEAN CO 609-597-7103 MANAHAWKIN NJ YES NO12/17/199708050

312539 DCA MANAHAWKIN 609-978-8672 MANAHAWKIN NJ NO NO10/09/199808050

312540 GAMBRO PERTH AMBOY 732-324-4240 PERTH AMBOY NJ NO NO12/17/199708861

312541 GAMBRO OLD BRIDGE 732-360-0103 OLD BRIDGE NJ NO NO12/16/199708857

312542 UNION CITY RENAL CENTER 201-902-2938 UNION CITY NJ NO NO05/01/200207087


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

312543 FMC DIAL ASSOC NO JERSEY

DC

973-267-7200 PARSIPPANY NJ YES NO09/16/199807054

312544 DCI CENTRA STATE FREEHOLD 732-294-4570 FREEHOLD NJ NO NO09/15/199807728

312545 JERSEY CITY AKC NO BERGEN 201-770-0922 NORTH BERGEN NJ YES NO04/05/199907047

312546 RCG BLOOMFIELD DC 973-680-0810 BLOOMFIELD NJ NO NO02/15/200007003

312547 FMC PHILLIPSBURG 908-454-4744 PHILLIPSBURG NJ YES NO03/11/199908865

312548 GAMBRO BURLINGTON NO 609-747-7984 BURLINGTON NJ NO NO08/12/1999312548 08016

312549 FMC ELMWOOD PARK 201-703-3309 ELMWOOD PARK NJ YES NO10/06/1999312549 07407

312550 FMC KINGS CT FLEMINGTON 908-806-6918 FLEMINGTON NJ YES NO12/22/199908822

312551 DCA VINELAND 856-692-2906 VINELAND NJ YES NO02/25/200008361

312552 BELMONT CT HAMILTON 609-689-9926 TRENTON NJ YES NO04/12/200008690

312553 RV RENAL CENTER OF PASSAIC 973-594-4910 CLIFTON NJ NO NO05/05/200007011

312554 FMC ST CLARE 973-989-9343 DOVER NJ NO NO01/08/200107801


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

312555 DCI ST PETER UNIVERSITY

HOSP

732-565-5544 NEW BRUNWSICK NJ YES NO09/27/200008903

312556 DCI PRINCETON 609-897-7977 WEST WINDSOR NJ NO NO05/29/200108550

312557 RCG LAKEWOOD DIALYSIS 732-730-0222 LAKEWOOD NJ NO NO10/31/200108701

312558 GAMBRO PLAINFIELD 908-757-7603 PLAINFIELD NJ YES NO04/01/200107060

312559 GAMBRO EDISON 732-205-5988 EDISON NJ YES NO11/16/200108820

312560 SILVER CARE CENTER 856-795-5313 CHERRY HILL NJ NO NO04/22/2002312332 08034

312561 RV BAYONNE 201-436-6166 BAYONNE NJ YES NO04/23/200207002

312562 SHINING STAR BRICKTOWN DC 732-836-6966 BRICK NJ NO NO07/19/200208724

312563 RV BRICK 732-477-7224 BRICK NJ YES NO08/26/200208723

312564 RCG HARRISON DC 973-482-2777 HARRISON NJ NO NO08/07/200207029

312565 RV OLL SEWELL 856-464-4117 SEWELL NJ YES NO09/30/200208080

312566 VINELAND RC 856-692-2160 VINELAND NJ YES NO03/26/200308360


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

312567 SHINING STAR NEPTUNE DC 732-775-5272 NEPTUNE CITY NJ NO NO02/24/200307753

312568 RCG EAST ORANGE DC 973-414-4610 EAST ORANGE NJ NO NO06/20/200307018

312569 SHINING STAR MIDDLETOWN

DC

732-576-6990 RED BANK NJ NO NO07/09/200307701

312570 DAVITA NEWARK 973-484-4499 NEWARK NJ NO NO09/05/200307107

312571 RV TRENTON 609-393-3238 TRENTON NJ YES NO11/03/200308629

312572 RV NEWTON 973-940-0096 NEWTON NJ YES NO11/12/200307860

312573 BERGEN RCC 201-692-2111 TEANECK NJ NO NO03/12/200407666

312574 SHINING STAR SOMERSET DC 732-937-7500 SOMERSET NJ YES NO01/30/200408873

312575 BERLIN DC 856-809-9003 BERLIN NJ NO NO10/15/200408009

312576 RCG ST BARNABAS SO ORANGE

AVE

973-322-2715 LIVINGSTON NJ YES NO04/01/200407039

312577 RCG ST BARNABAS DC 973-322-2594 LIVINGSTON NJ YES NO04/01/200407039

312578 RCG ELIZABETH DC 908-436-6300 ELIZABETH NJ NO NO10/07/200407201


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

312579 RCG CAPE MAY DC 609-465-5344 CAPE MAY COURT

HOUSE

NJ NO NO10/15/200408210

312580 HAMILTON PK DIALYSIS

CENTER

201-716-6770 JERSEY CITY NJ NO NO12/15/200407302

312581 KRU PARKSIDE DC 973-624-4222 NEWARK NJ NO NO12/01/200407114

312582 RCG WHITING 732-350-0840 WHITING NJ NO NO05/09/200508759

312583 RV SOMERVILLE DC 908-450-0039 NORTH BRANCH NJ YES NO10/13/200508876

312584 GAMBRO WILLINGBORO 609-871-1343 WILLINGBORO NJ YES NO10/31/200508046

313501 KENNEDY HOSP DIALYSIS

CENTER STRATFORD

856-566-6546 VOORHEES NJ YES NO03/11/199208043

313502 KESSLER HOSPITAL DC 609-561-1344 HAMMONTON NJ YES NO05/11/199208037

313503 TRINITAS SAT LINDEN 908-862-2740 LINDEN NJ NO NO08/31/199407036

313505 MT. LAUREL DIALYSIS CNTR 856-222-2388 MOUNT LAUREL NJ NO NO04/17/199608054

313507 WILLOWBROOK DIALYSIS CNTR 973-754-4404 WAYNE NJ NO NO06/02/199707470

313511 ST JOSEPH SATELLITE

PATERSON

973-569-9645 PATERSON NJ YES NO10/03/200107503


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

313514 VALLEY-FAIRLAWN 201-447-7858 FAIRLAWN NJ NO NO02/25/200207410

313519 TRINITAS LIVINGSTON ST 908-994-4701 ELIZABETH NJ NO NO10/22/200207206

320001 TRANSPLANT SVCS/UNIV HOSP 505-272-2310 ALBUQUERQUE NM NO YES05/01/1983322300 87106

320019 LOVELACE DIALYSIS CENTER 505-262-2704 ALBUQUERQUE NM YES NO08/01/1981322301 87108

320021 PRESBYTERIAN HEALTHCARE

TRANSPLANT

505-841-1143 ALBUQUERQUE NM NO YES04/09/1986322308 87102

320036 RMCH - GALLUP DIALYSIS UNIT 505-863-3725 GALLUP NM YES NO08/31/1977322304 87301

320038 RMCH - CROWNPOINT

DIALYSIS UNIT

505-786-6528 CROWNPOINT NM NO NO12/30/1998322309 87313

32005F VAMC RENAL SECTION 111C 505-265-5171 ALBUQUERQUE NM YES NO10/04/1997322305 87108

322500 FMC - NEW MEXICO ARTIFICIAL

KIDNEY CENTER

505-244-4363 ALBUQUERQUE NM YES NO08/27/197787106

322501 FMC - SANTA FE DIALYSIS 505-982-2942 SANTA FE NM YES NO08/28/199787505

322503 DAVITA - FOUR CORNERS

DIALYSIS FARMINGTON

505-325-5282 FARMINGTON NM YES NO08/29/197987401

322504 FMC - ALBUQUERQUE KIDNEY

CENTER

505-298-8555 ALBUQUERQUE NM NO NO01/13/198287112


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

322505 RCG - LAS CRUCES 505-522-2585 LAS CRUCES NM YES NO12/08/198188011

322506 DIALYSIS CLINIC, INC.

ALBUQUERQUE

505-724-4150 ALBUQUERQUE NM YES NO05/01/198387102

322507 DIALYSIS CLINIC, INC.-SILVER

CITY

505-538-8020 SILVER CITY NM YES NO09/08/198788061

322508 RCG - ALAMOGORDO 505-437-7973 ALAMOGORDO NM NO NO08/11/199788310

322509 FMC WEST ALBUQUERQUE

DIALYSIS CENTER



GRANTS

505-285-5520 GRANTS NM YES NO02/07/199487020

322511 FMC - CENTRAL NEW MEXICO

KIDNEY CENTER

505-866-6954 LOS LUNAS NM YES NO04/05/199587031

322513 FMC ESPANOLA DIALYSIS 505-753-3942 ESPANOLA NM YES NO04/17/199587532

322514 DIALYSIS CLINIC, INC. - TAOS 505-751-1401 TAOS NM YES NO06/18/199587571

322515 DAVITA - SHIPROCK DIALYSIS 505-368-8412 SHIPROCK NM NO NO02/06/199687420

322516 RCG - DEMING 505-546-6110 DEMING NM NO NO02/07/199688030

322517 FMC - PLAINS REGIONAL

DIALYSIS CENTER

505-769-9389 CLOVIS NM YES NO10/30/199588101


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

322518 FMC LAS VEGAS DIALYSIS 505-454-4701 LAS VEGAS NM YES NO08/05/199687701

322519 FMC - SOUTHEASTERN NM

KIDNEY CENTER, INC.

505-625-5916 ROSWELL NM YES NO09/10/197488201

322520 DIALYSIS CLINIC, INC.-RIO

RANCHO

505-896-6886 RIO RANCHO NM YES NO01/21/199887124

322521 FMC - HOBBS 505-392-2101 HOBBS NM NO NO12/16/199888240

322522 DIALYSIS CLINIC INC.--

CARLSBAD

505-885-5699 CARLSBAD NM YES NO01/01/2000320063 88220

322523 FMC - NORTH ALBUQUERQUE

DIALYSIS CENTER


322524 DCI- ACL 505-552-2729 SAN FIDEL NM NO NO05/29/200187049

322525 MESCALERO CARE CENTER -

DIALYSIS

505-464-4482 MESCALERO NM YES NO11/13/200388340

322526 DCI - RATON 505-445-5430 RATON NM YES NO06/09/200487740

322527 FMC - LAS CRUCES 505-532-2943 LAS CRUCES NM YES NO01/28/200588011

323500 RMCH - ZUNI 505-782-2566 ZUNI NM NO NO01/12/198687327

290003 COLUMBIA SUNRISE HOSP

KIDNEY TRANSPLANT

702-731-1865 LAS VEGAS NV NO YES04/06/1990292301 89109


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

290007 UMC TRANSPLANTATION

SERVICES

702-383-3222 LAS VEGAS NV NO YES11/18/1989292302 89102

292500 RCG - LAS VEGAS 702-735-5547 LAS VEGAS NV YES NO05/07/198389109

292501 DAVITA - LAS VEGAS DIALYSIS

CENTER

702-878-8090 LAS VEGAS NV YES NO01/01/198589102

292504 DAVITA - NORTH LAS VEGAS

DIALYSIS CENTER

702-642-2232 NORTH LAS VEGAS NV NO NO07/23/199289030

292505 DAVITA - SPARKS 775-359-9543 SPARKS NV YES NO07/28/199589434

292506 RCG - NORTHWEST LAS VEGAS 702-233-3880 LAS VEGAS NV NO NO10/01/199689128

292507 PREFERRED DIALYSIS CARE

EAST, LLC

702-740-0858 LAS VEGAS NV NO NO07/16/199789119

292508 DCI - CARSON CITY 775-883-3540 CARSON CITY NV YES NO03/16/199889706

292510 GAMBRO HEALTHCARE - LAS

VEGAS


292511 DAVITA - PAHRUMP DIALYSIS

CENTER

775-751-1430 PAHRUMP NV YES NO12/27/1999291113 89048

292512 DAVITA - SOUTH LAS VEGAS 702-795-5177 LAS VEGAS NV NO NO04/07/200089103

292513 RCG - GREEN VALLEY 702-433-3307 LAS VEGAS NV NO NO06/28/200089120


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

292514 SWAN DIALYSIS SERVICES 702-396-6022 LAS VEGAS NV NO NO12/26/200089108

292515 DAVITA - SUMMERLIN

DIALYSIS CENTER

702-360-0690 LAS VEGAS NV NO NO02/28/200189144

292516 DIALYSIS CLINIC INC - ELKO 775-738-8409 ELKO NV NO NO06/29/200189801

292517 PREFERRED DIALYSIS CARE OF

GREEN VALLEY

702-450-0887 HENDERSON NV YES NO05/23/200289014

292518 NORTHERN SIERRA DIALYSIS

CENTER

775-982-2810 RENO NV YES NO08/01/200289502

292519 LAS VEGAS KIDNEY CLINIC 702-214-4951 NORTH LAS VEGAS NV NO NO03/27/200389030

292520 DAVITA - SIERRA ROSE

DIALYSIS CENTER

775-829-9658 RENO NV YES NO08/27/200389511

292521 DAVITA - SOUTHERN HILLS

DIALYSIS CENTER


292522 GAMBRO - HENDERSON 702-614-4059 HENDERSON NV YES NO05/26/200489052

292523 RED MOON DIALYSIS 702-387-7110 LAS VEGAS NV YES NO11/22/200489101

293500 WASHOE DIALYSIS CENTER AT

CARSON CITY

775-886-6645 CARSON CITY NV YES NO06/24/199789706

330004 KINGSTON HOSPITAL 845-334-4282 KINGSTON NY YES NO09/16/198112401


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

330005 BUFFALO GENERAL HOSPITAL 716-859-9134 BUFFALO NY NO YES01/01/1970330005T 14203

330006 ST. JOSEPHS HOSP. HLTH

CTR-YONKERS

914-378-8748 YONKERS NY YES NO05/01/197910701

330012 COLUMBIA PRESBYTERIAN

HOSPITAL

212-305-5508 NEW YORK NY NO YES01/01/1972330012T 10032

330013 ALBANY MEDICAL CENTER 518-262-2485 ALBANY NY NO YES07/10/1976330013T 12208

330024 MT. SINAI MEDICAL CENTER 212-241-1808 NEW YORK NY NO YES01/01/1975330024T 10029

330027 NASSAU COUNTY MEDICAL

CENTER

516-572-2335 EAST MEADOW NY YES NO07/09/198211554

330044 FAXTON-ST. LUKES

HEALTHCARE

315-624-4611 UTICA NY YES NO04/11/198513502

330045 HUNTINGTON HOSPITAL 631-351-1247 HUNTINGTON NY YES NO05/24/198211743

330046 ST. LUKES HOSPITAL

CENTER-NYC

212-523-3470 NEW YORK NY NO YES07/22/1980330046T 10025

330053 LAKE PLAINS DIALYSIS CENTER 585-798-8375 MEDINA NY NO NO07/19/199614103

330055 THE NY HOSP MEDICAL

CENTER OF QUEENS

718-670-0125 FLUSHING NY NO NO09/09/197811355

330056 BROOKLYN HOSPITAL CENTER 718-250-0802 BROOKLYN NY YES NO03/13/198511201


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

330058 GENEVA GENERAL HOSPITAL 315-787-7458 GENEVA NY YES NO12/07/199014456

330059 MONTEFIORE HOSP. &

MEDICAL CENTER

718-920-0497 BRONX NY YES YES01/01/197710467

330064 NEW YORK DOWNTOWN

HOSPITAL

212-312-2524 NEW YORK NY NO NO12/24/198510038

330072 OUR LADY OF MERCY MEDICAL

CENTER

718-920-0904 BRONX NY NO NO12/18/198010466

330079 ADIRONDACK MEDICAL CENTER

ESRD

518-897-7264 SARANAC LAKE NY YES NO06/25/199712983

330080 LINCOLN HOSPITAL 718-579-9554 BRONX NY NO NO03/13/199210451

330090 ARNOT ODGEN MEDICAL

CENTER

607-737-7418 ELMIRA NY YES NO02/16/198614905

33009F VA HOSPITAL - ALBANY 518-626-6650 ALBANY NY NO NO01/01/198012208

330101 NEW YORK HOSPITAL 212-746-6533 NEW YORK NY NO YES09/28/198010021

330103 OLEAN GENERAL DIALYSIS 716-375-5690 OLEAN NY NO NO04/23/199714760

330106 NORTH SHORE UNIVERSITY

HOSPITAL

516-465-5825 GREAT NECK NY YES NO08/06/1981332322 11021

330107 CENTRAL SUFFOLK HOSPITAL 631-548-8633 RIVERHEAD NY YES NO05/06/198511901


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

330119 LENOX HILL HOSPITAL 212-434-4326 NEW YORK NY YES NO09/02/198210021

330125 ROCHESTER GENERAL

HOSPITAL

585-922-2450 ROCHESTER NY YES NO10/29/198214621

330128 ELMHURST HOSPITAL CENTER 718-334-4392 ELMHURST NY YES NO10/22/198111373

33012F VAWNYHS-VA W. NY

HLTHCARE

716-834-4920 BUFFALO NY YES NO01/01/198014215

330136 MARY IMOGENE BASSETT

HOSPITAL

607-547-7328 COOPERSTOWN NY YES NO05/10/198413326

330140 ST. JOSEPHS HOSPITAL 315-703-3670 SYRACUSE NY YES NO07/16/198713203

330141 BROOKHAVEN MEMORIAL

HOSPITAL

631-687-7282 PATCHOGUE NY NO NO09/11/198111772

330151 ST. JAMES MERCY HOSPITAL 607-324-4695 HORNELL NY YES NO09/03/198514843

330152 LONG ISLAND COLLEGE

HOSPITAL

718-780-0122 BROOKLYN NY NO NO04/22/198211201

330158 WEISS RENAL CENTER 845-368-8509 SUFFERN NY YES NO11/10/198210901

330167 WINTHROP UNIVERSITY

HOSPITAL

516-663-3900 MINEOLA NY YES NO03/07/199111501

330169 BETH ISRAEL MEDICAL CENTER 212-844-4861 NEW YORK NY NO NO08/16/197210003


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

33016F JAMES J. PETERS DEPT OF VA

MEDICAL CENTER

718-584-4900 BRONX NY YES NO01/01/198010468

33017F VA HOSPITAL - NEW YORK 212-686-6750 NEW YORK NY YES NO01/01/198010010

330191 GLENS FALLS HOSPITAL 518-926-6672 GLENS FALLS NY YES NO10/19/198812801

330193 FLUSHING HOSPITAL MEDICAL

CENTER-ESRD

718-670-0595 FLUSHING NY YES NO12/06/198411355

330194 MAIMONIDES MEDICAL CENTER 718-283-3735 BROOKLYN NY NO NO09/15/198111219

330195 LIJ MEDICAL CENTER 718-470-0782 NEW HYDE PARK NY NO NO06/02/198111040

330196 CONEY ISLAND HOSPITAL 718-616-6423 BROOKLYN NY NO NO11/13/198111235

330198 S. NASSAU COMMUNITIES

HOSP.

516-632-2394 ROCKVILLE CENTRE NY YES NO02/06/198911572

330199 METROPOLITAN HOSPITAL

CENTER

212-423-3640 NEW YORK NY YES NO12/01/198110029

33019F NORTHPORT VA MEDICAL

CENTER

631-261-1440 NORTHPORT NY YES NO10/26/1984332378 11768

330201 KINGSBROOK JEWISH MEDICAL

CENTER

718-604-4559 BROOKLYN NY NO NO07/10/198111203

330202 KINGS COUNTY HOSPITAL

CENTER

718-613-3815 BROOKLYN NY NO NO05/27/198111203


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

330204 BELLEVUE HOSPITAL 212-562-2321 NEW YORK NY YES NO09/01/198110016

330209 ST. LUKES HOSPITAL 845-562-2771 NEWBURGH NY YES NO08/04/199512550

33020F VA HOSPITAL - BROOKLYN 718-836-6660 BROOKLYN NY YES NO01/01/198011209

330211 RAVINDER N AGARWAL RENAL

CENTER

315-393-3360 OGDENSBURG NY YES NO07/29/1988333536 13669

330214 NEW YORK UNIVERSITY

HOSPITAL

212-263-3565 NEW YORK NY NO YES03/07/198010016

330219 ERIE COUNTY MEDICAL CENTER 716-898-8480 BUFFALO NY NO YES01/01/198014215

330226 PARK RIDGE HOSPITAL 585-723-3776 ROCHESTER NY YES NO06/01/199014626

330229 BROOKS MEMORIAL HOSPITAL 716-366-6111 DUNKIRK NY YES NO07/29/199614048

330230 ST. CLARES HOSPITAL 212-459-9856 NEW YORK NY NO NO10/20/198110019

330231 QUEENS HOSPITAL CENTER 718-883-3438 JAMAICA NY NO NO06/14/199011432

330233 BROOKDALE HOSPITAL &

MEDICAL CENTER

718-240-0572 BROOKLYN NY NO NO06/15/198111212

330234 WESTCHESTER COUNTY

MEDICAL CENTER

914-493-3250 VALHALLA NY NO YES09/15/1980330234T 10595


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

330239 WOMENS CHRISTIAN ASSOC.

HOSP.

716-487-7014 JAMESTOWN NY YES NO08/06/198214701

330240 HARLEM HOSPITAL 212-939-9484 NEW YORK NY NO NO09/22/198210037

330241 SUNY HEALTH SCIENCE

CENTER @ SYRACUSE

315-464-4554 SYRACUSE NY NO YES01/01/1980330241T 13210

330250 CVPH - H.K. FREEDMAN RENAL

CENTER

518-566-6704 PLATTSBURGH NY YES NO07/29/196912901

330275 UNITY HEALTH SYSTEM 585-368-8393 ROCHESTER NY NO NO06/29/198914611

330285 STRONG MEMORIAL HOSPITAL 585-275-5587 ROCHESTER NY NO YES01/01/1975330285T 14642

330286 GOOD SAMARITAN HOSPITAL 631-376-6412 WEST ISLIP NY YES NO07/24/198111795

330290 SAINT VINCENTS HOSP. &

MEDICAL CENTER

212-604-4832 NEW YORK NY NO NO06/29/198110011

330350 DOWNSTATE MEDICAL CTR-

SUNY BKLYN

718-703-3592 BROOKLYN NY YES YES01/01/197511203

330350 DOWNSTATE MEDICAL

CENTER - SUNY

718-270-0316 BROOKLYN NY NO YES01/01/1975330350T 11203

330357 ST. JOHNS QUEENS HOSPITAL 718-558-8117 ELMHURST NY YES NO05/06/198811373

330393 SUNY HEALTH SCIENCE

CENTER AT STONY BROOK

631-444-4220 STONY BROOK NY NO YES12/11/1980330393T 11794


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

330394 UNITED HEALTH SERVICES 607-762-2222 BINGHAMTON NY YES NO06/28/198513903

330395 MARJORIE BASSER DIALYSIS

CENTER

718-869-9763 FAR ROCKAWAY NY NO NO11/09/198111691

330397 INTERFAITH MEDICAL CENTER

JEWISH HOSP DIV

718-613-3443 BROOKLYN NY YES NO07/29/198111213

330401 ST. CATHERINE OF SIENA

MEDICAL CENTER

631-862-2370 SMITHTOWN NY YES NO03/01/2000333509 11787

332009 ST. BARNABAS HOSPITAL 718-960-0386 BRONX NY YES NO11/03/198110457

332504 WESTCHESTER ARTIFICIAL

KIDNEY CENTER

914-592-2585 ELMSFORD NY NO NO09/10/198110523

332506 SOUTH BRONX DIALYSIS

CENTER

718-299-9921 BRONX NY YES NO02/13/198110457

332510 WESTERN NY AKC - BUFFALO 716-885-5636 BUFFALO NY NO NO09/12/199114209

332511 ISLAND REHABILITATIVE

SERVICES, INC.

718-987-7594 STATEN ISLAND NY YES NO12/28/197910305

332512 NEPHROLOGY FOUND. OF

BKYN, N


332513 HUNTINGTON AKC 631-423-3432 HUNTINGTON STA NY YES NO02/28/198311746

332514 TERENCE CARDINAL COOKE

HEALTH CENTER

212-360-0386 NEW YORK NY NO NO09/03/199110029


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

332516 SOUTH BKLYN NEPHROLOGY

CENTER


332517 QUEENS ARTIFICIAL KIDNEY

CENTER

718-651-1970 JACKSON HEIGHTS NY NO NO03/26/198611372

332518 CENTRAL SUFFOLK AKC 631-331-1560 PT.JEFFERSN

STATION

NY YES NO01/18/198211776

332519 BAYSIDE DIALYSIS CENTER 718-423-3663 BAYSIDE NY NO NO01/12/198411361

332520 ROGOSIN INSTITUTE 212-746-6156 NEW YORK NY YES NO01/31/198410021

332521 SOUTH SHORE DIALYSIS

CENTER

516-483-3670 SOUTH HEMPSTEAD NY YES NO01/24/198411550


BKLYN, S


332523 CAPITAL DISTRICT DIALYSIS

CENTER

518-382-2020 SCHENECTADY NY YES NO09/30/198812304

332524 CITY DIALYSIS CENTER 212-348-8663 NEW YORK NY NO NO08/21/198410029

332525 RICHMOND KIDNEY CENTER 718-816-6620 STATEN ISLAND NY YES NO09/19/198410301

332528 LOWER MANHATTAN DIALYSIS

CENTER

212-889-9108 NEW YORK NY YES NO10/16/198510016

332529 HUNTINGTON AKC FREEPORT,

EXT.

516-379-9500 FREEPORT NY NO NO12/24/198411520


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

332530 S. MANHATTAN DIALYSIS

CENTER

212-675-5688 NEW YORK NY NO NO02/24/198610011

332531 SOUTH QUEENS DIALYSIS

CENTER

718-297-7910 JAMAICA NY NO NO07/03/198611433

332532 H & L RUBIN DIALYSIS CENTER 518-271-1070 TROY NY YES NO07/17/198612180

332533 BROOKLYN HOME DIALYSIS

TRAINING CENTER


332534 NEPHROCARE, INC. 718-771-1696 BROOKLYN NY NO NO01/01/200411216


BKLYN - E

718-345-5900 BROOKLYN NY NO NO11/03/198811207

332536 ITHACA DIALYSIS CLINIC 607-273-3911 ITHACA NY YES NO11/17/198814850

332537 WESTERN NY AKC - NIAGARA

FALLS

716-694-4355 NIAGARA FALLS NY NO NO08/12/199214301

332538 MIDDLETOWN DIALYSIS

CENTER

845-695-5120 MIDDLETOWN NY NO NO02/26/199110941

332539 SOUTHERN WESTCHESTER

DIALYSIS CENTER

914-965-5020 YONKERS NY NO NO05/14/199010701

332540 MERCY CENTER FOR HEALTH

SERVICES

315-782-2740 WATERTOWN NY YES NO01/21/198513601

332541 RIDGEWOOD DIALYSIS CENTER 718-366-6111 RIDGEWOOD NY YES NO12/09/199111385


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

332542 LIFE CARE DIALYSIS CENTER 212-977-7610 NEW YORK NY YES NO08/17/199110023

332543 LOWER MANHATTAN DIALYSIS

CENTER II

212-388-8009 NEW YORK NY NO NO09/21/199210003

332544 ALBANY DIALYSIS CENTER 518-427-7047 ALBANY NY NO NO06/30/198312204

332545 UNIVERSITY DIALYSIS CENTER 315-473-3510 SYRACUSE NY YES NO09/25/198013210

332546 CATSKILL DIALYSIS CENTER 845-796-6330 MONTICELLO NY NO NO12/07/199212701

332547 ROGOSIN INSTITUTE-QUEENS 718-457-7300 WOODSIDE NY NO NO02/08/199311377

332548 RENAL CARE OF BUFFALO, INC. 716-677-7008 WEST SENECA NY NO NO03/29/199314224

332549 NIAGARA RENAL CENTER 716-298-8419 NIAGARA FALLS NY YES NO10/12/199314304

332550 NEPHRO CARE WEST INC 718-858-8667 BROOKLYN NY NO NO03/14/199411215

332551 COMPREHENSIVE DIALYSIS. OF

W. NY

716-631-1470 WILLIAMSVILLE NY YES NO05/27/199414221

332552 HUNTINGTON AKC - SYOSSET

EXT

516-364-4210 SYOSSET NY NO NO06/23/199411791

332554 WESTERN NY AKC KEN-TON

UNIT

716-871-1998 TONAWANDA NY NO NO09/19/199414217


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

332555 HUNTINGTON AKC- MEDFORD

EXT.

631-289-9800 MEDFORD NY NO NO10/28/199411763

332556 UTICA AVENUE DIALYSIS

CLINIC, INC.

718-629-9390 BROOKLYN NY NO NO05/03/199511203

332557 H & L RUBIN DIALYSIS CENTER

II

518-587-7191 SARATOGA

SPRINGS

NY YES NO02/01/199512866


CENTER II

516-679-9309 BELLMORE NY YES NO05/19/199511710

332559 PORT CHESTER DIALYSIS &

RENAL CENTER

914-937-7880 PORT CHESTER NY NO NO08/21/199510573

332560 BAYRIDGE SUNSET PK

DIALYSIS CENTER


332561 ISLAND REHAB SERVICES 718-437-7159 BROOKLYN NY YES NO08/21/199511219

332562 GREEN MANOR DIALYSIS

CENTER

518-828-8071 GHENT NY YES NO03/06/199612075

332563 BRONX DIALYSIS CENTER 718-892-2770 BRONX NY YES NO08/20/199610461

332564 HARLEM DIALYSIS CENTER 212-281-1820 NEW YORK NY NO NO12/04/199610030

332565 RIVERDALE DIALYSIS CENTER 718-884-4430 BRONX NY NO NO12/24/199610463

332566 ROGOSIN KIDNEY CENTER -

BKLYN

718-780-0580 BROOKLYN NY NO NO03/28/199711215


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

332567 STATEN ISLAND DIALYSIS

CLINIC/ AKC

718-983-3700 STATEN ISLAND NY YES NO04/18/199710314

332568 NEWTOWN DIALYSIS CENTER,

INC

718-728-8222 ASTORIA NY YES NO07/18/199711102

332569 ALBANY REGIONAL KIDNEY

CENTER

518-434-4656 ALBANY NY YES NO05/19/199712208

332570 STONY BROOK KIDNEY

CENTER, DCI

631-444-4050 EAST SETAUKET NY YES NO08/06/199711733

332571 HUDSON VALLEY DIALYSIS

CENTER

914-332-2759 TARRYTOWN NY NO NO10/17/199710591

332572 RENAL CARE OF ROCKLAND,

INC.

845-268-8277 VALLEY COTTAGE NY YES NO10/08/199710989

332574 PEEKSKILL-CORTLANDT

DIALYSIS CENTER

914-788-8932 CORTLANDT

MANOR

NY NO NO01/07/199810567

332576 BRONX RIVER NEPHRO CARE,

INC

718-430-0980 BRONX NY YES NO03/05/199810462

332577 ATLANTIC HEMODIALYSIS

CENTER

718-780-0122 BROOKLYN NY NO NO04/28/199811201

332578 BROOKLYN KIDNEY CENTER 718-780-0460 BROOKLYN NY NO NO04/28/199811217

332579 ATLANTIC CAPD & HOME

TRAINING


332580 UNIV. DIALYSIS CENTER @

OSWEGO

315-342-2304 OSWEGO NY NO NO03/19/199813126


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

332581 BROOKDALE PHYSICIANS

DIALYSIS ASSOC, INC.


332582 NEW YORK RENAL ASSOCIATES 718-401-1283 BRONX NY YES NO04/21/199810456

332583 IHS QUEENS DIALYSIS CENTER 718-341-1671 QUEENS NY NO NO04/29/199811434

332584 UNIVERSITY DIALYSIS CENTER

@ AUBURN

315-473-3510 AUBURN NY NO NO05/22/199813021

332585 EASTVIEW DIALYSIS,INC. 585-742-2125 VICTOR NY YES NO08/17/199814564

332586 AMSTERDAM DIALYSIS CENTER 518-842-2436 AMSTERDAM NY YES NO08/14/199812010

332587 COLLEGE POINT DIALYSIS

CENTER

718-762-2333 QUEENS NY YES NO03/08/199911356

332588 BOSTON POST ROAD DIALYSIS

CENTER

718-862-2924 BRONX NY YES NO07/10/199810475

332589 ISLAND REHAB. SVC-QUEENS 718-793-3334 KEW GARDENS NY YES NO09/18/199811415

332590 SOUNDVIEW DIALYSIS CENTER 718-861-1233 BRONX NY YES NO03/03/199910473

332591 PORT WASHINGTON DIALYSIS

CENTER

516-484-4346 PORT WASHINGTON NY NO NO03/26/199911050

332592 LYNBROOK DIALYSIS CENTER 516-596-6410 LYNBROOK NY YES NO07/07/199911563


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

332593 UPPER EAST SIDE DIALYSIS

CENTER

212-794-4285 NEW YORK NY YES NO06/18/199910028

332594 THE POLA TENENBAUM 718-474-4035 ARVENE NY YES NO06/02/199911692

332595 ST. ALBANS DIALYSIS CENTER 718-949-9160 JAMAICA NY YES NO06/11/199911434

332596 DYKER HEIGHTS DIALYSIS

CENTER

718-256-6580 BROOKLYN NY NO NO05/25/199911228

332597 GATES CIRCLE DIALYSIS

CENTER

716-887-7473 BUFFALO NY YES NO07/10/199914209

332598 MIDWOOD CHAIM ARUCHIM 718-258-8770 BROOKLYN NY NO NO08/20/199911230

332599 WHITE PLAINS DIALYSIS 914-328-8490 WHITE PLAINS NY NO NO09/24/199910601

332600 SUBURBAN DIALYSIS CENTER 716-636-6330 AMHERST NY YES NO01/05/200014221

332602 YONKERS DIALYSIS CENTER 914-377-7237 YONKERS NY YES NO09/24/199910704

332603 QUEENS VILLAGE DIALYSIS

CENTER

718-217-7620 QUEENS NY NO NO12/20/199911429

332604 CONEY ISLAND DIALYSIS

CENTER

718-743-3595 BROOKLYN NY NO NO03/20/200011235

332605 GARDEN CITY DIALYSIS

CENTER

516-357-7000 GARDEN CITY NY NO NO06/06/200011530


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

332606 SOUND SHORE DIALYSIS

CENTER

914-235-5687 NEW ROCHELLE NY NO NO06/01/2000330184 10802

332607 CHINATOWN DIALYSIS CENTER

INC

212-925-5040 NEW YORK NY NO NO07/31/200010013

332608 ORCHARD PARK DIALYSIS

CENTER

716-209-9720 ORCHARD PARK NY YES NO07/26/200014127

332610 WEST NASSAU DIALYSIS CTR,

INC

516-823-3444 VALLEY STREAM NY YES NO10/20/200011580

332612 MONTEFIORE DIALYSIS

CENTER 111

718-597-7225 BRONX NY YES NO11/01/2000333508 10461

332613 MONTEFIORE DIALYSIS

CENTER IV

718-792-2047 BRONX NY YES NO01/19/2001333530 10461

332614 YORKTOWN AKC 914-962-2400 YORKTOWN

HEIGHTS

NY NO NO10/06/200010598

332615 CENTRAL NY DIALYSIS CENTER 315-410-0804 SYRACUSE NY YES NO12/20/200013210

332616 DIALYSIS CLINIC, INC

EXTENSION-VALHALLA

914-493-3116 VALHALLA NY YES NO12/01/2000330234 10595

332617 DIALYSIS CLINIC INC,

BRADHURST

914-592-2436 HAWTHORNE NY YES NO12/01/200010532

332618 WESTERN QUEENS DIALYSIS

MANAGEMENT CORP

718-707-7998 ASTORIA NY YES NO05/09/200111106

332619 PELHAM PARKWAY DIALYSIS

CENTER

718-409-9190 BRONX NY NO NO08/03/200110461


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

332620 NEW HYDE PARK 516-327-7555 NEW HYDE PARK NY YES NO08/06/200111040

332621 COLUMBIA UNIVERSITY

DIALYSIS CENTERS, INC

212-928-8907 NEW YORK NY YES NO11/07/200110032

332622 NEW YORK AKC, INC 718-769-9410 BROOKLYN NY NO NO03/27/200211235

332624 HARLEM DIALYSIS CENTER @

BX CTR FOR REHAB

718-863-3670 BRONX NY NO NO04/08/200210472

332625 CAROL MOLINARO DIALYSIS

CENTER

718-816-6645 STATEN ISLAND NY YES NO07/19/2002332406 10310

332626 STRONG HEALTH DIALYSIS -

IN-PT UNIT

585-275-5282 ROCHESTER NY NO NO05/30/2002330285 14642

332627 STRONG HEALTH

DIALYSIS-AMBULATORY CARE

585-461-1077 ROCHESTER NY YES NO05/30/2002333514 14642


DIALYSIS-SELF CARE UNIT



DIALYSIS-CLINTON

CROSSINGS



DIALYSIS-HIGHLANDS LIVING

CENTER

585-389-9308 PITTSFORD NY NO NO05/30/2002333513 14534


DIALYSIS-FINGER LAKES

585-742-2137 VICTOR NY NO NO05/30/2002333528 14564

332632 HORTENSE AND LOUIS RUBIN

DIALYSIS CENTER INC

518-831-1670 CLIFTON PARK NY YES NO04/16/200312065


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

332633 DUTCHESS DIALYSIS CENTER 845-471-1630 POUGHKEEPSIE NY YES NO07/01/200212601

332634 BRONX RIVER NEPHRO CARE

INC AT WOODMERE

516-791-1527 WOODMERE NY NO NO06/11/200311598

332635 MIDWOOD CHAYIM AUCHIM

DIALYSIS SITE II

718-677-7760 BROOKLYN NY NO NO06/24/200311230

332636 ATLANTIC HEMODIALYSIS AT

COBBLE HILL NURSING HOME

718-625-5438 BROOKLYN NY NO NO11/05/200211201

332637 DCI NARROWS KIDNEY CENTER 718-836-6844 BROOKLYN NY NO NO08/27/200311219


SERVICES-CLOVE LAKES

EXTENSION

347-671-1839 STATEN ISLAND NY NO NO11/07/200310314

332639 IHS QUEENS DIALYSIS 718-591-1401 FLUSHING NY NO NO12/22/200311365

332640 BRONX RIVER NEPHRO

CARE-JEWISH HOME & HOSP

LIFE CARE SYS

718-410-0137 BRONX NY NO NO02/02/200410468

332641 NORTHERN HUDSON VALLEY

DIALYSIS

518-943-3140 CATSKILL NY YES NO05/01/200412414


SERVICES, BRONX

718-583-3180 BRONX NY YES NO06/28/200410457

332644 GATEWAY DIALYSIS CENTER 718-223-3210 BROOKLYN NY NO NO09/08/200411236

332645 KINGS HARBOR HEALTH

SERVICES LLC

718-320-0133 BRONX NY NO NO09/24/200410469


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

332646 CENTRAL BROOKLYN DIALYSIS

CENTER LLC

718-735-5666 BROOKLYN NY NO NO01/28/200511216

332647 BROADWAY DIALYSIS CENTER

AT ELMHURST HOSPITAL

CENTER

718-205-5777 FLUSHING NY NO NO07/05/200511373

332648 DAUGHTERS OF JACOB (DOJ)

DIALYSIS CENTER

718-293-3150 BRONX NY NO NO06/29/200510456

332649 ECMC DIALYSIS CENTER @

CLEVE-HILL

716-831-1889 BUFFALO NY YES NO11/21/200514215

332650 CRD ASSOCIATES LLC

CLIFFSIDE NURSING HOME

718-886-6070 FLUSHING NY NO NO12/21/200511354

332651 CELIA DILL DIALYSIS CENTER 845-278-8272 KENT CLIFFS NY NO NO10/01/200510512

333300 CHILDRENS HOSPITAL OF

BUFFALO

716-878-8729 BUFFALO NY YES YES08/21/198414222


BUFFALO

716-878-8729 BUFFALO NY NO YES08/21/1984333300T 14222

333503 LIJ SATELLITE DIALYSIS

FACILITY

718-975-5130 QUEENS VILLAGE NY YES NO06/02/198111427

333504 GOOD SAMARITAN HOSP. 631-224-4850 BAY SHORE, LI NY YES NO07/28/198111706

333506 YORKVILLE DIALYSIS CENTER 212-870-0939 NEW YORK NY NO NO02/06/199110128

333510 ST. JOSEPHS HOSPITAL ESRD 315-652-2847 LIVERPOOL NY NO NO09/27/199413090


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

333511 MOUNT SINAI HOSPITAL 212-987-7720 NEW YORK NY NO NO12/27/199410128

333515 BROOKLYN HOSPITAL CENTER

II

718-260-0271 BROOKLYN NY NO NO08/09/199611217

333517 ST. JOSEPHS HOSPITAL 315-488-8297 CAMILLUS NY NO NO06/16/199713031

333518 HASTINGS HEMODIALYSIS

CENTER

518-481-1244 MALONE NY NO NO03/05/199712953

333520 ST. LUKES MEMORIAL

HOSPITAL

315-823-3538 UTICA NY NO NO03/23/199813503


HOSPITAL

516-663-3498 BETHPAGE NY NO NO02/25/199811714

333523 CVPH SATELLITE DIALY

CTR-ELIZABETHTOWN COMM

HOSP

518-873-3216 ELIZABETHTOWN NY NO NO10/22/199712932

333524 BETH ISRAEL MEDICAL CENTER

(BIMC)

212-844-4861 NEW YORK NY YES NO05/29/199610003

333525 NORTHEAST DIALYSIS CENTER 315-329-9720 FAYETTEVILLE NY NO NO05/15/199813066

333526 LAKE PLAINS DIALYSIS AT

BATAVIA

585-344-4709 BATAVIA NY NO NO06/29/199814020

333527 BROOKHAVEN MEMORIAL HOSP 631-687-7282 PATCHOGUE NY YES NO07/27/199811772

333529 ST.LUKES MEMORIAL

HOSPITAL-

315-798-8613 ROME NY NO NO10/14/199813441


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

333531 BASSETT HEALTHCARE 607-433-3636 ONEONTA NY YES NO09/07/199913820

333532 ARNOT OGDEN MEDICAL

CENTER

607-962-2279 CORNING NY NO NO10/18/199914830

333533 S. HAMPTON HOSP. EXT.

CLINIC

631-723-3420 HAMPTON BAYS NY YES NO03/02/200011946

333534 GOOD SAMARITAN HOSPITAL 845-781-1710 HARRIMAN NY YES NO04/03/200010926

333535 SOUTH NASSAU OUTPATIENT

DIALYSIS CENTER

516-255-5800 OCEANSIDE NY NO NO05/15/200011572

333536 DR RAVINDER N AGARWAL 315-394-4971 OGDENSBURG NY YES NO06/17/1999330211 13669


HOSPITAL DIALYSIS CENTER

AT GLEN COVE

516-676-6110 GLEN COVE NY YES NO06/30/200011542

333539 UPPER MANHATTAN DIALYSIS

CENTER-BIMC

212-501-1810 NEW YORK NY YES NO05/01/2001332553 10025

333541 GOOD SAMARITAN HOSP. @

LINDENHURST

631-956-6606 LINDENHURST NY NO NO11/20/200011757

333542 FAXTON-ST.LUKES HLTHCARE 315-361-1914 ONEIDA NY NO NO01/22/2001330044 13421

333543 WINTHROP UNIV. HOSP AT SUN

HARBOR

516-626-6835 ROSLYN HEIGHTS NY NO NO05/31/200211577

333544 SUNY PARKSIDE DIALYSIS

CENTER

718-703-3590 BROOKLYN NY YES NO12/22/2000330350 11226


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

333545 MASSENA MEMORIAL HOSPITAL

DIALYSIS CENTER

315-705-5010 MASSENA NY NO NO05/19/200413662

333546 UNITED HEALTH SERVICES

HOSPITAL,INC (UHSH) RENAL

CARE CENTER

607-762-2201 BINGHAMTON NY YES NO09/21/200513903

333547 TRUDE WEISHAUPT MEM DIAL

CENTER

718-670-0127 FRESH MEADOWS NY YES NO06/18/197911365

333548 KINGSTON HOSPITAL DIALYSIS

CENTER- SATELLITE

845-334-4282 SAINT REMY NY NO NO01/01/2006332372 12401

360003 UNIVERSITY HOSPITAL

CINCINNATI - DIALYSIS

513-584-4523 CINCINNATI OH NO YES07/01/1966362300 45267

360009 LIMA MEMORIAL HOSPITAL 419-998-8457 LIMA OH YES NO03/15/1973362302 45804

360015 AKRON CITY HOSPITAL -

TRANSPLANT UNIT

330-375-5304 AKRON OH NO YES01/01/198044304

360024 FIRELANDS DIALYSIS CENTER

SOUTH

419-557-7722 SANDUSKY OH NO NO09/15/1978362322 44870

360037 ST VINCENT QUADRANGLE/ST

JOHN DIAL NETWK

216-771-1736 CLEVELAND OH NO NO08/25/1992362333 44115


CINCINNATI

513-475-5635 CINCINNATI OH YES NO03/29/199945220

360048 MEDICAL COLLEGE HOSPITAL -

TRANSPLANT

419-383-3400 TOLEDO OH NO YES01/01/198743614


CLEVELAND

216-791-1380 CLEVELAND OH YES NO11/17/199944106


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

360051 MIAMI VALLEY HOSPITAL -

DIALYSIS

937-208-8253 DAYTON OH NO YES01/01/196845409

360051 MIAMI VALLEY HOSPITAL -

TRANSPLANT

937-208-8252 DAYTON OH NO YES01/01/196845409

360053 ST JOHN DIALYSIS CENTER 216-961-1566 CLEVELAND OH NO NO01/29/1990362309 44102

360064 ST ELIZABETH HEALTH CENTER 330-480-0364 YOUNGSTOWN OH NO NO04/20/198944501

360068 THE TOLEDO HOSPITAL

DIALYSIS

419-291-1867 TOLEDO OH NO NO12/19/1989362323 43606

36007F VA MEDICAL CENTER - DAYTON 937-268-8651 DAYTON OH YES NO02/09/199045428

360084 AULTMAN HOSPITAL DIALYSIS

UNIT

330-363-3547 CANTON OH NO NO11/08/198944710

360085 OHIO STATE UNIVERSITY

TRANSPLANT

614-293-3673 COLUMBUS OH NO YES01/01/198543210

360095 BLANCHARD

VALLEY/CREIGHTON DIALYSIS

CENTER

419-423-3518 FINDLAY OH YES NO01/19/1995362336 45840

360099 FOSTORIA COMMUNITY

DIALYSIS CENTER

419-436-6668 FOSTORIA OH NO NO01/01/1980362339 44830

360112 ST VINCENT MERCY MEDICAL

CENTER

419-251-1476 TOLEDO OH YES NO04/09/1999362314 43608

360123 ST JOHN WESTSHORE

DIALYSIS CENTER

440-827-7516 WESTLAKE OH NO NO08/18/1996362335 44145


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

360134 GOOD SAMARITAN HOSPITAL 513-872-2244 CINCINNATI OH YES NO01/26/1979362315 45220

360137 UNIVERSITY HOSPITALS OF

CLEVELAND-TRANSPLANT

216-844-4368 CLEVELAND OH NO YES01/01/1970362316 44106

360137 UNIVERSITY HOSPITALS OF

CLEVELAND - DIALYSIS

216-844-4158 CLEVELAND OH YES YES01/01/1970362316 44106

360141 FORUM HEALTH - CAPD 330-759-9348 YOUNGSTOWN OH YES NO06/20/199044505

360163 CHRIST HOSPITAL -

TRANSPLANT

513-585-5249 CINCINNATI OH NO YES09/18/198045219

360180 CLEVELAND CLINIC HOSPITAL -

TRANSPLANT

216-444-4894 CLEVELAND OH NO YES01/10/197344195

360211 TRINITY MEDICAL CENTER

WEST

740-264-4817 STEUBENVILLE OH NO NO01/01/1980362312 43952

360229 COLUMBUS CHILDRENS

HOSPITAL

614-722-2485 COLUMBUS OH YES NO11/08/1989362326 43205

362500 CDC - CLEVELAND EAST 216-229-9110 CLEVELAND OH YES NO11/08/197444106

362501 FMC - CENTRAL OHIO 614-840-0001 COLUMBUS OH YES NO01/01/198043229

362502 MT AUBURN DIALYSIS 513-784-4180 CINCINNATI OH NO NO10/22/198145202

362503 FMC - AKRON 330-376-6490 AKRON OH NO NO06/01/197744307


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

362504 DCI - CINCINNATI 513-281-1009 CINCINNATI OH YES NO07/18/197945206

362505 CDC - MENTOR 440-951-1360 MENTOR OH NO NO11/08/198044060

362506 MONROE DIALYSIS 513-539-9926 MONROE OH NO NO11/22/198945050

362508 FMC - MANSFIELD KIDNEY

CENTER

419-775-5173 MANSFIELD OH YES NO01/25/199044906

362509 DIALYSIS PARTNERS OF NW

OHIO- GLENDALE

419-389-9968 TOLEDO OH YES NO11/08/198943614

362510 CLARK COUNTY DIALYSIS

FACILITY

937-328-8892 SPRINGFIELD OH NO NO11/08/198945505

362512 DAYTON REGIONAL DIALYSIS,

INC-NORTH

937-237-7200 DAYTON OH YES NO02/02/199045424

362514 FMC - GRANT PARK 614-469-9007 COLUMBUS OH YES NO08/08/198843215

362516 DCI - EAST LIVERPOOL 330-382-2083 EAST LIVERPOOL OH YES NO11/08/198943920

362517 DIALYSIS CENTERS OF DAYTON

- SOUTH

937-294-4718 MORAINE OH NO NO12/08/198945439

362518 ZANESVILLE DIALYSIS 740-454-4291 ZANESVILLE OH YES NO11/12/198943701

362519 BLUE ASH DIALYSIS 513-733-3821 CINCINNATI OH NO NO02/25/199145242


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

362520 FMC - CENTRAL OHIO EAST 614-338-8820 COLUMBUS OH YES NO09/19/199843213

362521 FMC - AKRON CANTON KIDNEY

CENTER

330-896-6631 UNIONTOWN OH NO NO10/24/199144685

362522 DAVITA - CINCINNATI 513-752-2554 CINCINNATI OH NO NO01/24/199245245

362523 RCG - AUSTINTOWN 330-799-9115 AUSTINTOWN OH NO NO01/31/199244515

362524 DIALYSIS CENTERS OF DAYTON

EAST

937-254-4008 DAYTON OH NO NO10/07/199245410

362525 FMC - HOME DIALYSIS OF MT

AUBURN


362526 PERITONEAL DIALYSIS CENTER

OF NW OHIO INC

419-475-5300 TOLEDO OH YES NO03/30/199343623

362528 DAYTON REGIONAL

DIALYSIS-SOUTH FACIL INC

937-438-8959 DAYTON OH NO NO05/01/199345459

362529 RCG- DIALYSIS & NEPHROLOGY

ASSOC OF NE OHIO

440-366-6197 ELYRIA OH YES NO03/22/199544035

362530 DCI - HILLTOP PLAZA 513-522-2620 MT HEALTHY OH NO NO12/30/199345231

362531 FMC - WAYNE COUNTY KIDNEY

CENTER

330-345-5206 WOOSTER OH NO NO03/03/199444691

362533 SOUTHWEST OHIO DIALYSIS 513-381-1648 CINCINNATI OH YES NO05/18/199445202


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

362534 FMC - PORTSMOUTH 740-353-3778 PORTSMOUTH OH NO NO12/31/1993362324 45662

362535 GUERNSEY COUNTY DIALYSIS 740-439-9292 CAMBRIDGE OH NO NO08/31/199443725

362536 FMC - HOME DIALYSIS OF

EASTGATE


362537 FMC - PORTAGE COUNTY

KIDNEY CENTER

330-677-7088 KENT OH NO NO12/13/199444240

362539 FMC - NORWALK 419-668-8212 NORWALK OH YES NO01/05/199544857

362541 PERITONEAL DIALYSIS

CONCEPTS INC

937-294-4603 DAYTON OH YES NO02/01/199545439

362542 PDCI-HOME DIALYSIS OF

DAYTON LTD.

937-275-5740 DAYTON OH YES NO02/02/199545415

362543 COLUMBUS DIALYSIS 614-538-8684 COLUMBUS OH YES NO02/17/199543214

362545 RCG - REGIONAL DIALYSIS

CENTER OF WILLIAMS COUNTY

419-636-6058 BRYAN OH NO NO04/13/199543506

362547 DIALYSIS PARTNERS - MAUMEE

BAY

419-697-7219 OREGON OH YES NO04/04/199543616

362548 DAVITA - NELSONVILLE

DIALYSIS

740-753-3239 NELSONVILLE OH YES NO05/17/199545764

362549 FMC - HEART OF OHIO

DIALYSIS CENTER

740-389-9411 MARION OH YES NO09/28/199543302


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

362550 FMC - CHILLICOTHE 740-774-4490 CHILLICOTHE OH YES NO11/22/199545601

362551 DAVITA - WILLOW DIALYSIS

CENTER

937-383-3333 WILMINGTON OH NO NO04/10/199545177

362552 FMC - CLAYTON TAYLOR 614-258-8589 COLUMBUS OH YES NO11/29/199543219

362553 CDC - SHAKER 216-295-5700 SHAKER HEIGHTS OH NO NO01/05/199644122

362554 ASHTABULA DIALYSIS 440-964-4977 ASHTABULA OH YES NO03/31/199644004

362555 LICKING COUNTY DIALYSIS 740-344-4135 NEWARK OH NO NO03/18/199643055

362556 FMC - SUBURBAN HOME

DIALYSIS

216-514-4060 WARRENSVILLE

HEIGHTS

OH YES NO04/10/199644128


CENTRAL OHIO

740-477-7722 CIRCLEVILLE OH NO NO04/17/199643113

362558 RENAL CARE GROUP - WARREN 330-372-2403 CORTLAND OH NO NO12/05/1989363502 44410

362559 RCG YOUNGSTOWN 330-746-6286 YOUNGSTOWN OH YES NO04/02/1989360064 44504

362560 HILLMED DIALYSIS CENTER -

HEMODIALYSIS - CLEVELAND

216-421-1351 CLEVELAND OH NO NO07/22/199644104

362561 BELMONT DIALYSIS AT

CRESTVIEW

740-699-9022 SAINT CLAIRSVILLE OH YES NO03/01/200043950


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

362562 RENAL CARE GROUP - SALEM 330-332-2295 SALEM OH NO NO07/01/199644460

362563 MARIETTA DIALYSIS 740-376-6262 MARIETTA OH NO NO08/12/199645750

362564 CDC - JEFFERSON 440-576-6716 JEFFERSON OH NO NO09/23/199644047

362566 FMC - MAD RIVER DIALYSIS

CENTER

937-292-2705 BELLEFONTAINE OH YES NO12/05/199643311

362567 CDC - CLEVELAND WEST 216-741-1577 CLEVELAND OH NO NO10/23/199644109

362568 RCG - OHIO RENAL CARE

GROUP - WEST

216-267-7145 BROOKPARK OH NO NO11/08/1989363500 44142


GROUP - EAST



GROUP HOME DIALYSIS

PROGRAM


362571 FMC - DIALYSIS SPECIALISTS

OF MARIETTA

740-376-6004 MARIETTA OH NO NO01/03/199745750

362572 MIDDLEBURG HEIGHTS

DIALYSIS

440-891-1564 MIDDLEBURG

HEIGHTS

OH NO NO01/07/199744130

362573 ALLIANCE DIALYSIS 330-821-1678 ALLIANCE OH YES NO01/06/199744601

362574 FMC - DIALYSIS SPECIALISTS -

CENTRAL CINCINNATI

513-631-1222 NORWOOD OH YES NO03/05/199745212


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


OF COLUMBUS

614-294-4575 COLUMBUS OH YES NO02/28/199743212


OF FAIRFIELD

513-863-3688 FAIRFIELD OH YES NO01/12/1995362538 45014

362577 CDC - EUCLID 216-732-2375 EUCLID OH NO NO01/22/199744117

362578 CDC - HOME CARE 216-732-2375 EUCLID OH YES NO01/22/199744117

362579 FMC - HOCKING HILLS

DIALYSIS CENTER

740-689-9056 LANCASTER OH YES NO04/14/199743130

362580 FMC - TUSCARAWAS COUNTY

KIDNEY CENTER

330-602-2500 NEW PHILADELPHIA OH NO NO03/24/199744663

362581 FMC - MEDINA COUNTY KIDNEY

CENTER

330-722-2556 MEDINA OH YES NO07/16/199744256

362582 CDC - WARRENSVILLE 216-378-8505 WARRENSVILLE

HEIGHTS

OH NO NO07/23/199744128

362583 FMC - CRAWFORD COUNTY

KIDNEY CENTER

419-562-2300 BUCYRUS OH NO NO06/04/199744820

362584 INNOVATIVE DIALYSIS OF

TOLEDO

419-473-3990 TOLEDO OH NO NO09/10/199743606

362585 RCG - DIALYSIS SPECIALISTS

OF NORTHEAST OHIO

440-365-5816 ELYRIA OH NO NO07/30/199744035

362587 TOLEDO DIALYSIS 419-382-2828 TOLEDO OH YES NO12/05/199743614


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

362589 RCG - ELYRIA RENAL CARE

GROUP

440-934-4570 ELYRIA OH YES NO11/08/1979360145 44035


GROUP-NORTH RANDALL

216-581-1394 NORTH RANDALL OH NO NO08/15/199744128


GROUP@FARNSWORTH

216-739-9050 CLEVELAND OH NO NO10/01/1997360059 44109

362592 COMMUNITY/PHYSICIANS

DIALYSIS

CENTER-SPRINGFIELD

937-390-0312 SPRINGFIELD OH YES NO03/27/199845503

362593 CDC - CITYVIEW 216-426-6202 CLEVELAND OH NO NO04/20/199844103

362594 SOUTHWEST OHIO DIALYSIS 937-376-6145 XENIA OH YES NO05/20/199845385


DAYTON-NORTH

937-208-8790 DAYTON OH NO NO06/17/199845415


COSHOCTON

740-622-2647 COSHOCTON OH YES NO05/07/199843812

362597 RCG - SIDNEY 937-498-8004 SIDNEY OH YES NO07/08/199845365

362598 FMC - AKRON EAST 330-376-6760 AKRON OH YES NO06/30/199844304

362599 FMC - KNOX COUNTY KIDNEY

CENTER

740-393-3162 MOUNT VERNON OH YES NO05/11/199843050

362600 COMMUNITY DIALYSIS UNIT,

LLC - BELDEN

330-649-9930 CANTON OH YES NO07/23/199844718


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

362602 FAIRFIELD DIALYSIS 513-939-9111 FAIRFIELD OH NO NO10/16/199845014

362603 CDC - HEATHER HILL 440-286-6410 HEATHER HILL OH NO NO09/23/199944024

362604 RCG - ARROWHEAD DIALYSIS

CENTER

419-891-1220 MAUMEE OH NO NO05/02/1994363503 43537

362607 RCG - TOLEDO CENTRAL

DIALYSIS

419-539-9400 TOLEDO OH YES NO03/16/1981363506 43606

362608 FAIRFIELD HOME TRAINING

DIALYSIS

513-939-9112 FAIRFIELD OH YES NO12/07/199845014

362609 RCG - WESTLAKE DIALYSIS

CENTER

440-835-5113 WESTLAKE OH YES NO02/10/199944145

362610 ROCKY RIVER DIALYSIS 440-356-6574 ROCKY RIVER OH YES NO01/13/199944116

362611 WINTON ROAD DIALYSIS 513-591-1290 CINCINNATI OH NO NO03/10/199945224

362612 CDC - CANFIELD 330-702-2304 CANFIELD OH NO NO03/25/199944406

362613 RCG - SUMMIT RENAL CARE

LLC

330-733-3186 AKRON OH YES NO04/20/199944312

362614 LAKE COUNTY DIALYSIS 440-428-8687 MADISON OH YES NO03/08/199944057

362615 FMC - MADEIRA DIALYSIS

CENTER

513-271-1229 CINCINNATI OH NO NO08/24/199945243


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

362616 FMCNA - REGENCY 614-443-3550 COLUMBUS OH NO NO10/06/199943207

362617 FMC - STREETSBORO KIDNEY

CENTER

330-422-2016 STREETSBORO OH NO NO11/02/199944241

362618 RCG - BOARDMAN 330-629-9885 BOARDMAN OH NO NO01/19/200044512

362619 FMC - RICHLAND COUNTY 419-774-4018 MANSFIELD OH NO NO02/23/200044906

362620 DAVITA - PARMA DIALYSIS 440-743-3069 PARMA OH YES NO10/31/199944129

362621 DCI - WESTERN HILLS 513-598-8905 CINCINNATI OH NO NO02/19/200045211

362622 DAVITA - SENECA DIALYSIS

LLC.

419-447-7728 TIFFIN OH YES NO03/28/200044883

362623 RCG - SUMMIT RENAL CARE -

WEST

330-873-3115 AKRON OH NO NO04/26/200044320

362624 WILDWOOD DIALYSIS CENTER 419-535-5741 TOLEDO OH NO NO05/31/200043615

362625 FMC - DIALYSIS SERVICES -

CAMPUS


362626 FMC - COLUMBUS SOUTHSIDE

DIALYSIS CENTER

614-409-9988 COLUMBUS OH NO NO05/02/200043207

362627 GREATER COLUMBUS

REGIONAL DIALYSIS,LLC



Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

362628 WESTERN HILLS DIALYSIS 513-347-7044 CINCINNATI OH NO NO09/13/200045248

362629 COLUMBUS EAST DIALYSIS 614-501-1722 COLUMBUS OH YES NO12/11/200043213

362630 DCA OF BOWLING GREEN 419-353-3108 BOWLING GREEN OH YES NO02/26/200143402

362631 FREMONT DIALYSIS CENTER 419-332-2910 FREMONT OH NO NO02/21/200143420


LIMA

330-729-9906 NORTH LIMA OH NO NO01/17/200144452

362633 SILVERTON DIALYSIS 513-793-3055 CINCINNATI OH NO NO06/06/200145236

362634 SILVERTON HOMETRAINING

DIALYSIS


362635 CDC - WARREN 330-609-9037 WARREN OH NO NO06/28/200144484

362636 RCG - ELYRIA RENAL CARE -

AMHERST

440-985-5228 AMHERST OH NO NO09/26/200144001

362637 OHIO RENAL CARE

GROUP-WILLOUGHBY

440-975-5149 WILLOUGHBY OH NO NO11/15/200144094


LONDON

740-845-5159 LONDON OH YES NO02/11/200243140

362639 RCG - VAN WERT 419-238-8933 VAN WERT OH NO NO02/09/200245891


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

362640 COMMUNITY DIALYSIS UNIT -

MERCY

330-580-0400 CANTON OH YES NO03/06/200244708

362641 ALEXIS DIALYSIS CENTER 419-471-1171 TOLEDO OH NO NO02/27/200243613

362642 TRISTATE DIALYSIS 740-867-7447 CHESAPEAKE OH YES NO03/02/200245619

362643 DCI - PORTSMOUTH 740-351-1059 PORTSMOUTH OH YES NO01/29/200245662

362644 FMC - DIALYSIS SERVICE

MOUND BUILDERS

740-522-2295 NEWARK OH YES NO05/30/200243055

362645 COMMUNITY PHYSICIANS

DIALYSIS CENTER-FAIRBORN

937-879-9043 FAIRBORN OH YES NO07/08/200245324

362646 FMC - GALLIPOLIS 740-441-1930 GALLIPOLIS OH YES NO07/09/200245631

362647 BUTLER COUNTY DIALYSIS 513-422-2146 FRANKLIN OH NO NO07/10/200245005

362648 RENAL CARE GROUP - MT.

CARMEL WEST


362649 MID-AMERICA DIALYSIS LLC. 614-367-7167 COLUMBUS OH YES NO08/27/200243227

362650 COLUMBUS DOWNTOWN

DIALYSIS

614-228-8177 COLUMBUS OH NO NO08/01/2002OH0004 43215

362651 RCG - SUMMIT - MUNROE

FALLS

330-689-9140 MUNROE FALLS OH NO NO10/01/200244262


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

362652 KIDNEY CENTER OF COLUMBUS

NORTH

614-846-6972 COLUMBUS OH NO NO11/26/2002OH0006 43229


EAST

614-253-3330 COLUMBUS OH YES NO02/05/2003OH0008 43205

362654 DEFIANCE DIALYSIS CENTER 419-784-4210 DEFIANCE OH NO NO02/12/200343512

362655 DCA OF CINCINNATI 513-931-1790 MT HEALTHY OH YES NO03/30/2003OH0013 45231

362656 KIDNEY SERVICES OF WEST

CENTRAL OHIO

419-227-7091 LIMA OH YES NO02/25/200345801

362657 RCG - MT. CARMEL EAST 614-322-2043 COLUMBUS OH YES NO01/01/200343213

362658 KIDNEY TREATMENT OPTIONS

PC

740-264-4131 STEUBENVILLE OH YES NO06/25/200343952

362659 DIALYSIS CENTER OF DARKE

COUNTY LLC

937-548-8701 GREENVILLE OH NO NO05/29/200345331

362660 HOME DIALYSIS SERVICES OF

SANDUSKY, INC.

419-627-7840 SANDUSKY OH YES NO06/09/200344870


SOUTH

614-449-9730 COLUMBUS OH NO NO07/14/200343207

362662 HOOD DIALYSIS

SERVICES,LLC- CITYGATE

614-428-8400 COLUMBUS OH NO NO09/10/200343219

362663 COSHOCTON DIALYSIS 740-623-3291 COSHOCTON OH NO NO09/10/200343812


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

362664 DCI - WESTCHESTER 513-777-7085 WEST CHESTER OH YES NO10/07/200345069

362665 RCG - DEFIANCE 419-782-2909 DEFIANCE OH NO NO12/01/2003OH0018 43512

362666 RCG - SOLON 440-248-8706 SOLON OH NO NO03/15/200444139

362667 FMC - VALLEY CITY 330-483-3466 MEDINA OH NO NO04/08/200444256

362668 FMC - HAMILTON 513-895-5730 HAMILTON OH NO NO05/28/200445011

362669 COMMUNITY DIALYSIS UNIT-

ALLIANCE

330-821-1165 ALLIANCE OH YES NO06/02/200444601

362670 FMC - MASSILLON DIALYSIS

CENTER

330-837-7257 MASSILLON OH YES NO07/07/200444646

362671 BELPRE DIALYSIS 740-401-1060 BELPRE OH YES NO08/20/200445714


WARREN COUNTY

937-704-4058 SPRINGBORO OH NO NO09/02/200445066

362673 FMC - BRUNSWICK DIALYSIS

CENTER

330-220-0436 HINCKLEY OH YES NO11/15/200444233

362674 PUTNAM CTY AMBULATORY

CARE CTR-DIALYSIS

419-226-6442 GLANDORF OH NO NO01/01/200545848

362675 RCG - WASHINGTON

COURTHOUSE

740-335-5426 WASHINGTON

COURT HOU

OH NO NO02/15/200543160


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

362676 HOOD DIALYSIS SERVICES,

LLC.-MARENGO

419-253-3070 MARENGO OH NO NO05/11/200543334

362677 CHILLICOTHE REGIONAL

DIALYSIS CENTER

740-774-4477 CHILLICOTHE OH YES NO05/17/200545601

362678 CDC - GARFIELD 216-581-1080 GARFIELD HEIGHTS OH NO NO07/13/200544125

362679 ELYRIA RENAL CARE GROUP -

HERITAGE

440-365-5181 ELYRIA OH NO NO11/23/200544035


NORTHWOOD

419-698-8342 NORTHWOOD OH YES NO11/30/200543619

362681 DCA OF NORWOOD 513-242-2673 CINCINNATI OH YES NO12/08/200545229

363300 CINCINNATI CHILDRENS

HOSPITAL MEDICAL CENTER

513-636-6444 CINCINNATI OH YES YES01/01/197145229


MEDICAL CENTER - AKRON

330-543-3877 AKRON OH YES YES02/02/1990362328 44308


MEDICAL CENTER - AKRON -

TRANSPLANT

330-543-3877 AKRON OH NO YES02/02/1990362328 44308

363304 CLEVELAND CLINIC CHILDRENS

HOSP FOR REHABILITATION

216-721-1149 CLEVELAND OH YES NO05/29/2003362344 44104

363501 UVMC DIALYSIS SERVICES 937-440-0499 TROY OH NO NO11/01/198845373

363504 LMH SATELLITE AT ST MARYS 419-394-4608 SAINT MARYS OH NO NO04/16/199645885


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

363509 AULTMAN DIALYSIS CENTER OF

CANTON

330-458-8015 CANTON OH YES NO03/04/1999362341 44708

363510 MIDDLETOWN REGIONAL

HOSPITAL OUTPATIENT

DIALYSIS CENTER

513-727-7270 MIDDLETOWN OH NO NO05/20/200245044

363848 FMC - BRUNSWICK DIALYSIS

CENTER

330-220-0436 HINCKLEY OH YES NO01/19/200544233

364000 WRIGHT PATTERSON MEDICAL

CENTER, HEMODIALYSIS DEPT.

937-257-7095 WRIGHT

PATTERSON AFB

OH NO NO12/01/199945433

OH0009 RCG - MT CARMEL EAST 614-322-2043 COLUMBUS OH YES NO01/01/200343213

OH0013 DCA OF CINCINNATI 513-931-1790 MT HEALTHY OH YES NO04/02/200345231

370018 JANE PHILLIPS DIALYSIS

CENTER

918-331-1177 BARTLESVILLE OK NO NO02/01/1996372322 74006

370028 INTEGRIS BAPTIST MEDICAL

CTR-TRANSPLANT

405-949-9381 OKLAHOMA CITY OK NO YES01/01/1988372303 73112

370037 ST ANTHONY

HOSPITAL-TRANSPLANT


370091 ST FRANCIS

HOSPITAL-DIALYSIS

918-494-4557 TULSA OK YES NO08/31/1977372308 74136

370091 ST FRANCIS

HOSPITAL-TRANSPLANT

918-502-2390 TULSA OK NO YES01/28/2005372308 74136

370093 OU MEDICAL

CENTER-CHILDRENS DIALYSIS

405-271-1330 OKLAHOMA CITY OK YES YES02/05/1998372311 73104


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

370093 OU MEDICAL

CENTER-TRANSPLANT

SERVICES


370114 ST JOHN KIDNEY DIALYSIS

CTR-DIALYSIS

918-744-4354 TULSA OK YES YES02/06/1992372321 74114

372500 FMCNA-MEDICAL PLAZA

DIALYSIS

405-945-5444 OKLAHOMA CITY OK YES NO08/31/197773112

372504 DAVITA-TULSA DIALYSIS 918-744-4044 TULSA OK YES NO06/23/198374135

372505 DAVITA-STILLWATER 405-707-7040 STILLWATER OK NO NO08/26/198374075

372511 DAVITA-MIDWEST CITY 405-869-9960 MIDWEST CITY OK NO NO02/16/199073110

372512 DAVITA-TAHLEQUAH 918-456-6202 TAHLEQUAH OK NO NO06/11/199074464

372513 DAVITA-SHAWNEE 405-214-4010 SHAWNEE OK NO NO09/06/199074804

372514 DAVITA-CLAREMORE 918-342-2111 CLAREMORE OK NO NO10/11/199074017

372515 DAVITA-NORTHWEST BETHANY 405-495-5860 BETHANY OK YES NO06/03/199173008

372516 DAVITA-BROKEN ARROW 918-251-1288 BROKEN ARROW OK NO NO09/23/199174012

372518 GAMBRO

HLTHCARE-OKLAHOMA CITY

SOUTH



Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

372520 FMCNA-SOUTH OKC 405-632-2148 OKLAHOMA CITY OK YES NO08/28/199273139

372522 DAVITA-DUNCAN 580-255-5220 DUNCAN OK NO NO12/29/199273533

372523 RCG-LAWTON DIALYSIS 580-248-8373 LAWTON OK YES NO12/09/199273505

372524 DAVITA-ALTUS 580-482-2119 ALTUS OK NO NO02/24/199373521

372527 DAVITA-NORMAN 405-360-0981 NORMAN OK NO NO02/23/199473069

372528 DAVITA-OKLAHOMA CITY 405-749-9421 OKLAHOMA CITY OK YES NO07/20/199473120

372529 GAMBRO HEALTHCARE-PRYOR 918-825-5310 PRYOR OK YES NO11/30/199474361

372530 GAMBRO

HEALTHCARE-UNIVERSITY


372531 DAVITA-ELK CITY 580-225-5883 ELK CITY OK YES NO12/20/199573644

372532 FMCNA-OKLAHOMA CITY 405-236-6329 OKLAHOMA CITY OK YES NO12/01/199573102

372533 FMCNA-SHAWNEE 405-878-8930 SHAWNEE OK YES NO08/26/199674801

372535 AMERICAN DIALYSIS INC 580-353-3552 LAWTON OK NO NO01/02/199773501


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

372536 RCG-MIAMI 918-540-0270 MIAMI OK NO NO01/22/199774354

372537 FMCNA-MORNING STAR 405-495-5419 OKLAHOMA CITY OK YES NO05/16/199773122

372538 FMCNA-DIALYSIS

SPECIALISTS-TULSA

918-599-9513 TULSA OK YES NO05/17/199774127


CENTRAL OKLAHOMA


372540 RCG-OKLAHOMA CITY 405-951-1417 OKLAHOMA CITY OK NO NO07/11/199773112

372541 DAVITA-EDMOND 405-330-0664 EDMOND OK NO NO09/08/199773034

372542 RCG-ARDMORE 580-226-6939 ARDMORE OK YES NO06/15/199873401

372543 ANADARKO DIALYSIS INC 405-247-7289 ANADARKO OK NO NO12/08/199873005

372544 FMCNA-EL RENO 405-262-2690 EL RENO OK YES NO06/30/199973036

372545 DAVITA-STILWELL DIALYSIS 918-696-6207 STILWELL OK NO NO07/01/199974960

372546 DAVITA-CENTRAL TULSA 918-585-5555 TULSA OK YES NO07/01/199974120

372547 DAVITA-TRISTATE (MIAMI) 918-540-0182 MIAMI OK NO NO07/01/199974354


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

372548 DAVITA-OKMULGEE 918-756-6352 OKMULGEE OK NO NO07/01/199974447

372549 DAVITA - MUSKOGEE


918-687-7001 MUSKOGEE OK NO NO07/01/199974401

372552 RCG-PONCA CITY 580-718-8935 PONCA CITY OK NO NO11/01/199674601

372553 FMCNA-HERITAGE PARK 405-733-3406 MIDWEST CITY OK YES NO12/16/199973110

372554 PAULS VALLEY REG KIDNEY

CARE CENTER

405-238-8725 PAULS VALLEY OK YES NO07/05/200073075

372555 FMCNA-WOODWARD 580-256-6037 WOODWARD OK YES NO04/01/200073801

372556 STILLWATER MEDICAL

CTR-DIALYSIS

405-742-2577 STILLWATER OK YES NO10/12/200074074

372557 RCG-LAWTON EAST 580-351-1143 LAWTON OK YES NO02/28/200273501

372558 RCG - ENID DIALYSIS CENTER 580-233-3444 ENID OK NO NO05/20/200273701

372559 POTEAU DIALYSIS CENTER 918-647-7937 POTEAU OK NO NO06/05/200274953

372560 DAVITA-SAPULPA DIALYSIS 918-224-4999 TULSA OK NO NO07/19/200274131

372561 DAVITA-CLINTON DIALYSIS

CENTER

580-323-3434 CLINTON OK NO NO11/12/200273601


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

372562 FMCNA-SOONER DIALYSIS

CENTER

405-329-9383 NORMAN OK YES NO01/06/200373071

372563 BLACK HILLS DIALYSIS 405-382-2980 SEMINOLE OK NO NO06/02/200374868

372564 MCALESTER REGIONAL

DIALYSIS CENTER

918-421-1837 MCALESTER OK NO NO10/01/200274501

372565 DAVITA - DURANT DIALYSIS 580-920-0080 DURANT OK NO NO11/12/200374701

372566 FMCNA-MUSKOGEE 918-682-2227 MUSKOGEE OK NO NO02/13/200474401

372567 DAVITA-SOUTHCREST 918-392-2092 TULSA OK NO NO01/31/200574133

372568 DAVITA-CINEMA DIALYSIS 405-631-1377 OKLAHOMA CITY OK NO NO04/22/200573109

372569 DAVITA - GREENWOOD

DIALYSIS

918-585-5881 TULSA OK NO NO04/20/200574106

372570 FMCNA - EAST TULSA 918-250-0342 TULSA OK NO NO11/02/200574146

372571 FMCNA-SOUTHWEST

OKLAHOMA CITY


372572 DAVITA - CHICKASHA DIALYSIS

CENTER

405-224-4990 CHICKASHA OK YES NO12/07/200573018

373508 ST JOHN KIDNEY CTR-N

HARVARD

918-835-5559 TULSA OK NO NO01/29/199974115


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

373509 ST JOHN-SAPULPA 918-227-7335 SAPULPA OK NO NO07/09/200274066

380004 PROVIDENCE ST VINCENT HMC

DIALYSIS UNIT

503-216-6464 PORTLAND OR NO NO05/16/1991382305 97225

380006 RAY YASUI DIALYSIS CENTER 541-387-7637 HOOD RIVER OR NO NO06/24/1998382310 97031

380009 OREGON HEALTH & SCIENCE

UNIVERSITY CLINICAL

TRANSPLANT SERV

503-494-4847 PORTLAND OR NO YES09/01/197797201

380017 LEGACY TRANSPLANT

SERVICES

503-413-3655 PORTLAND OR NO YES12/09/199997210

380061 PROVIDENCE PORTLAND

MEDICAL CENTER DIALYSIS

UNIT

503-215-5602 PORTLAND OR NO NO09/01/1977382303 97213

382500 OREGON KIDNEY CENTER 503-284-4193 PORTLAND OR YES NO09/01/197797213

382502 GAMBRO SALEM SOUTH 503-371-1804 SALEM OR YES NO08/31/197897302

382505 ROGUE VALLEY DIALYSIS

SERVICES

541-776-6480 MEDFORD OR YES NO01/22/198897504

382507 QUALICENTERS - ALBANY LTD 541-928-8102 ALBANY OR YES NO11/07/199197321

382508 QUALICENTERS -

EUGENE-SPRINGFIELD LTD

541-741-1800 SPRINGFIELD OR YES NO05/04/199297477

382509 PNRS HOME DIALYSIS 503-221-1493 PORTLAND OR YES NO11/12/199297201


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

382510 QUALICENTERS - COOS BAY

LTD

541-267-7038 COOS BAY OR YES NO04/07/199397420

382511 PORTLAND DIALYSIS CENTER 503-252-2001 PORTLAND OR YES NO08/31/199397216

382512 OREGON DIALYSIS SERVICES 541-686-6736 EUGENE OR NO NO12/15/199397401

382513 REDWOOD DIALYSIS SERVICES 541-474-4077 GRANTS PASS OR NO NO07/15/199497526

382514 GAMBRO ROSEBURG/MERCY 541-677-7735 ROSEBURG OR YES NO09/22/199497470

382515 QUALICENTERS - SALEM LTD 503-363-3606 SALEM OR YES NO11/08/199497305

382516 GAMBRO WOODBURN 503-982-2200 WOODBURN OR NO NO02/27/199597071

382518 QUALICENTERS - BEND LLC 541-385-5866 BEND OR YES NO06/28/199597701

382519 ST ALPHONSUS NC - ONTARIO 541-889-9955 ONTARIO OR YES NO10/11/198897914

382520 WILLAMETTE VALLEY KIDNEY

CENTER

503-557-7137 OREGON CITY OR NO NO03/13/199697045

382521 PNRS BEAVERTON 503-520-0136 BEAVERTON OR NO NO06/25/199797005

382522 PNRS ROSE QUARTER 503-288-8702 PORTLAND OR NO NO02/01/199897227


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

382523 PNRS EMANUEL 503-413-3434 PORTLAND OR NO NO02/01/199897227

382524 PNRS TUALATIN 971-224-4400 TUALATIN OR NO NO02/01/199897062

382525 PNRS TWIN OAKS 503-690-0488 BEAVERTON OR NO NO02/01/199897006

382526 PNRS CLACKAMAS KIDNEY

CENTER

503-659-9820 PORTLAND OR NO NO03/15/199997015

382527 PNRS HOLLYWOOD DIALYSIS 503-493-3822 PORTLAND OR NO NO02/01/199897232

382529 SAMARITAN DIALYSIS

CORVALLIS

541-768-8518 CORVALLIS OR YES NO09/11/199897330

382530 GAMBRO SALEM NORTH 503-315-5221 SALEM OR NO NO04/07/199997303

382531 PNRS EASTERN OREGON

DIALYSIS CLINIC

541-663-3842 LA GRANDE OR NO NO04/30/199997850

382532 SAMARITAN DIALYSIS

LEBANON

541-451-1786 LEBANON OR YES NO05/25/199997355

382534 FMC DIALYSIS LAKE ROAD 503-794-4128 MILWAUKIE OR NO NO07/09/199997267

382535 PNRS NORTH COAST DIALYSIS

CLINIC

503-338-8388 ASTORIA OR NO NO09/01/199997103

382536 PNRS RAINES DIALYSIS 503-359-9797 FOREST GROVE OR NO NO12/03/199997116


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

382537 PNRS MCMINNVILLE KIDNEY

CENTER

503-474-4268 MCMINNVILLE OR NO NO08/16/200097128

382538 GRESHAM DIALYSIS CENTER 503-465-5165 GRESHAM OR NO NO09/26/200097030

382539 LINCOLN CITY DIALYSIS

CENTER

541-994-4946 LINCOLN CITY OR NO NO03/14/200197367

382540 FMC DIALYSIS NORTHEAST

PORTLAND

503-493-3332 PORTLAND OR YES NO10/05/200197212

382541 FMC DIALYSIS OF HERMISTON 541-567-7697 HERMISTON OR YES NO08/07/200297838

382543 FMC DIALYSIS MT HOOD 503-674-4495 GRESHAM OR NO NO11/27/200297080

382544 HERMISTON COMMUNITY

DIALYSIS CENTER

541-289-9112 HERMISTON OR YES NO12/04/200297838

382545 TILLAMOOK DIALYSIS CENTER 503-842-2044 TILLAMOOK OR NO NO05/19/200497141

382546 SHERWOOD DIALYSIS CENTER 503-925-5010 SHERWOOD OR YES NO11/17/200497140

382547 EAST PORTLAND PERITONEAL

DIALYSIS CENTER

503-254-4442 PORTLAND OR YES NO10/18/200597220

383509 WEST DIALYSIS CENTER 541-883-3898 KLAMATH FALLS OR NO NO01/11/199697601

390006 GEISINGER HEALTH SYSTEM 570-271-1656 DANVILLE PA YES YES03/20/1981392300 17822


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

390006 GEISINGER HEALTH SYSTEM

TRANSPLANT CENTER

570-271-1621 DANVILLE PA NO YES03/20/1981392300 17822

390027 TEMPLE UNIVERSITY HOSPITAL

DIALYSIS UNIT

215-707-7479 PHILADELPHIA PA NO YES08/12/1988392302 19140

390027 TEMPLE UNIVERSITY HOSPITAL

TRANSPLANT UNIT


390035 ST. LUKES QUAKERTOWN

HOSPITAL

215-538-8466 QUAKERTOWN PA NO NO08/05/1986392347 18951

390046 DIALYSIS CENTER OF YORK 717-851-1650 YORK PA YES NO09/01/1977392304 17402

390049 ST. LUKES HOSPITAL DIALYSIS

CENTER

610-954-4489 BETHLEHEM PA YES NO08/15/1979392340 18015

390050 ALLEGHENY GENERAL

HOSPITAL

412-359-9489 PITTSBURGH PA YES YES12/05/1986392305 15212

390050 ALLEGHENY GENERAL

HOSPITAL TRANSPLANT

SERVICES

412-359-9680 PITTSBURGH PA NO YES12/05/1986392305 15212

390067 PINNACLE HEALTH AT

HARRISBURG HOSPITAL

TRANSPLANT UNIT

717-231-1870 HARRISBURG PA NO YES02/22/2000392311 17101

390073 ALTOONA REGIONAL HEALTH

SYSTEM

814-946-6284 ALTOONA PA YES NO09/01/1977392313 16601

390079 ROBERT PACKER HOSPITAL 570-882-2443 SAYRE PA YES NO04/04/1978392341 18840

390100 LANCASTER GENERAL HEALTH

CAMPUS

717-544-4312 LANCASTER PA YES NO09/01/1977392318 17604


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

390111 HOSPITAL OF THE UNIVERSITY

OF PENNSYLVANIA

TRANSPLANT UNIT


390119 MOSES TAYLOR HOSPITAL

RENAL UNIT

570-340-0288 SCRANTON PA YES NO09/01/1977392320 18510

390121 ALTOONA REGIONAL HEALTH

SYSTEM - BON SECOURS

814-949-9421 ALTOONA PA NO NO05/11/200016602

390123 POTTSTOWN MEMORIAL

MEDICAL CENTER

610-327-7770 POTTSTOWN PA YES NO11/27/1991392352 19464

39012F VA PITTSBURGH HEALTHCARE

SYSTEM

412-688-8600 PITTSBURGH PA YES YES09/01/1977392321 15240

39012F VA PITTSBURGH HEALTHCARE

SYSTEM TRANSPLANT CENTER


390133 LEHIGH VALLEY HOSPITAL

DIALYSIS CENTER

610-402-2060 ALLENTOWN PA YES YES07/01/1992392322 18103

390133 LEHIGH VALLEY HOSPITAL

TRANSPLANT CENTER

610-402-2850 ALLENTOWN PA NO YES07/01/1992392322 18103

39013F VETERANS ADMINISTRATION

MEDICAL CENTER OF

WILKES-BARRE

570-824-4352 WILKES-BARRE PA NO NO10/01/198618711

390142 ALBERT EINSTEIN MEDICAL

CENTER

215-456-6698 PHILADELPHIA PA YES YES09/01/1977392338 19141

390142 ALBERT EINSTEIN MEDICAL

CENTER TRANSPLANT UNIT


390162 EASTON HOSPITAL DIALYSIS

CENTER

610-250-0473 EASTON PA YES NO10/24/1989392350 18042


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

390164 UPMC HEALTH SYSTEM -

PRESBYTERIAN, DIV OF

UROLOGIC SURGERY


390174 THOMAS JEFFERSON

UNIVERSITY HOSPITAL

TRANSPLANT UNIT


390195 LANKENAU HOSPITAL

TRANSPLANT CENTER

610-645-5848 WYNNEWOOD PA NO YES01/18/1994392332 19096

390226 PENNSYLVANIA HOSPITAL

DIALYSIS CENTER

215-829-9564 PHILADELPHIA PA NO NO11/01/1998392349 19107

390256 M.S. HERSHEY MEDICAL

CENTER

717-531-1503 HERSHEY PA YES YES12/16/1980392335 17033

390256 M.S. HERSHEY TRANSPLANT

CENTER

717-531-1576 HERSHEY PA NO YES12/16/1980392335 17033

390290 HAHNEMANN UNIVERSITY

HOSPITAL TRANSPLANT

CENTER



PHILADELPHIA, INC.

215-662-2599 PHILADELPHIA PA NO NO08/01/197719104


MORTON

610-690-0110 MORTON PA YES NO08/01/197719070


PITTSBURGH, INC.

412-683-3881 PITTSBURGH PA YES NO09/01/197715232


ALLENTOWN, INC.

610-435-5671 ALLENTOWN PA YES NO07/01/197718103


ABINGTON, INC.

215-657-7559 WILLOWGROVE PA YES NO09/01/197719090


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


CENTRAL PHILADELPHIA, INC.


392508 UPLAND DIALYSIS CENTER 610-447-7282 CHESTER PA YES NO09/01/197719013


NORTHERN PHILADELPHIA,

INC.



BETHLEHEM, INC.

610-974-4954 BETHLEHEM PA YES NO07/01/197718017


WILKES-BARRE, INC.

570-825-5953 WILKES-BARRE PA YES NO09/01/197718702

392513 GAMBRO HEALTHCARE - WEST

PHILADELPHIA

215-724-4255 PHILADELPHIA PA YES NO09/01/197719142

392515 EAST NORRITON DIALYSIS 610-279-9077 NORRISTOWN PA NO NO08/01/197719401


ROXBOROUGH



EASTON, INC.

610-253-3427 EASTON PA YES NO08/31/197718045


POTTSVILLE, INC.

570-429-9190 SAINT CLAIR PA YES NO08/29/197717970


SOUTHWESTERN

PENNSYLVANIA, INC.

724-228-8722 WASHINGTON PA YES NO09/09/197715301


GREENSBURG, INC.

724-832-2806 GREENSBURG PA YES NO01/13/197915601


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


PHILADELPHIA - 42ND STREET


392522 EXTON DIALYSIS CENTER 610-524-4370 EXTON PA YES NO09/05/197919341


BRADFORD

814-362-2741 BRADFORD PA YES NO11/21/197916701


HAZLETON, INC.

570-454-4355 HAZLETON PA YES NO04/23/198018201


DUBOIS

814-375-5064 DUBOIS PA YES NO09/24/198015801

392528 RENAL CARE OF ERIE, LLC 814-455-5645 ERIE PA YES NO01/12/198116502

392530 FRESENIUS TEMPLE

OUTPATIENT DIALYSIS

SERVICES, LLC


392531 FRANKLIN DIALYSIS CENTER -

DAVITA



MCKEESPORT

412-678-8018 WHITE OAK PA YES NO11/25/198115131


NORTHEAST PHILADELPHIA,

INC.


392534 CAMP HILL DIALYSIS CENTER 717-737-7779 CAMP HILL PA YES NO10/04/198217011

392535 DCI OF NEW KENSINGTON 724-339-9177 NEW KENSINGTON PA YES NO12/20/198215068


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

392536 GAMBRO HEALTHCARE - COBBS

CREEK



MEADVILLE

814-336-6604 MEADVILLE PA YES NO05/12/198316335


PRESBYTERIAN MEDICAL

CENTER



WYNNEWOOD

610-896-6078 WYNNEWOOD PA YES NO11/17/198319096


FAIRMOUNT, INC.


392541 RENAL CARE OF OIL CITY, INC. 814-677-7703 OIL CITY PA YES NO06/19/198416301


WESTERN PENNSYLVANIA, INC.


392543 GAMBRO HEALTHCARE - ERIE 814-454-4048 ERIE PA YES NO07/11/198416507


SOUTH HILLS, INC.

412-835-5122 BETHEL PARK PA YES NO09/19/198415102

392545 BELMONT COURT DIALYSIS -

DOYLESTOWN CAMPUS

215-348-8733 DOYLESTOWN PA YES NO07/01/198518901


HERMITAGE

724-347-7070 HERMITAGE PA YES NO08/16/198516148


EAST STROUDSBURG, INC.

570-476-6160 EAST

STROUDSBURG

PA YES NO07/31/198618301


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

392548 DCI AT MEDICAL COLLEGE OF

PENNSYLVANIA HOSPITAL


392549 PENNSYLVANIA DIALYSIS

CLINIC OF READING

610-375-5121 WYOMISSING PA YES NO01/12/198719610


DELCO, INC.

610-734-4350 UPPER DARBY PA YES NO07/08/198719082


NEW CASTLE, INC.

724-658-8121 NEW CASTLE PA YES NO09/01/198716101


UNIONTOWN, INC.

724-439-9332 UNIONTOWN PA YES NO09/03/198715401


KITTANNING, INC.

724-543-3315 KITTANNING PA YES NO03/22/198816201

392555 NORTHEAST PHILADELPHIA

DIALYSIS CENTER


392556 SOUTH PHILADELPHIA

DIALYSIS CENTER


392557 GSH DIALYSIS, INC. 717-274-4755 LEBANON PA YES NO01/31/198917042


THREE RIVERS, INC.



NORTHWEST PHILADELPHIA,

INC.



LATROBE, INC.

724-537-7983 LATROBE PA YES NO07/28/198915650


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


LIMERICK DIALYSIS

610-495-5001 LIMERICK PA YES NO10/03/198919469

392563 DCI OF MONROEVILLE 412-372-2345 MONROEVILLE PA YES NO12/05/198915146


BUCKS COUNTY CAMPUS

215-781-1898 BRISTOL PA YES NO12/08/198919007


MON VALLEY, INC.

724-489-9085 CHARLEROI PA YES NO06/12/199015022

392567 DCI OF SOUTH HILLS 412-341-1741 PITTSBURGH PA YES NO08/16/199015216


EPISCOPAL, INC.



PARKVIEW, INC.



WARMINSTER CAMPUS

215-957-7799 WARMINSTER PA YES NO08/10/199218974


JEFFERSON


392574 DCI OF JEANNETTE 724-523-3638 JEANNETTE PA YES NO01/08/199315644

392575 BRYN MAWR DIALYSIS

SERVICES, PC

610-526-6346 BRYN MAWR PA YES NO01/06/199319010


CLAIRTON

412-469-9701 CLAIRTON PA YES NO01/11/199315025


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


NORTHEAST CAMPUS



ELLWOOD CITY, INC.

724-758-8344 ELLWOOD CITY PA YES NO05/10/199316117


OHIO VALLEY, INC.


392580 GAMBRO HEALTHCARE - CORRY 814-664-4752 CORRY PA YES NO09/15/199316407

392581 DCI OF NORTH HILLS 412-635-5021 PITTSBURGH PA YES NO10/05/199315237

392582 HONESDALE DIALYSIS CENTER 570-253-3095 HONESDALE PA YES NO10/01/199318431

392583 GETTYSBURG DIALYSIS

FACILITY

717-337-7943 GETTYSBURG PA YES NO10/08/199317325

392584 PALMERTON DIALYSIS CENTER 610-826-6592 PALMERTON PA YES NO09/14/199318071

392586 DCI OF WILKINSBURG 412-247-7522 PITTSBURGH PA YES NO10/20/199115221

392587 READING DIALYSIS CENTER 610-370-0532 READING PA YES NO10/29/199319606

392588 DCI OF MOUNT PLEASANT 724-547-7651 MOUNT PLEASANT PA YES NO12/09/199315666


MOUNT PLEASANT, INC.

724-547-7193 MOUNT PLEASANT PA YES NO04/25/199415666


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

392591 GIRARD DIALYSIS CENTER 215-787-7227 PHILADELPHIA PA NO NO04/25/199419122


PITTSBURGH



HARRISBURG, INC.

717-564-4569 HARRISBURG PA YES NO11/18/199417111

392595 GAMBRO HEALTHCARE - PARIS 724-729-9335 PARIS PA YES NO02/24/199515021

392597 DCI OF WASHINGTON 724-229-9883 WASHINGTON PA YES NO12/05/199415301

392598 LEWISTOWN DIALYSIS CENTER 717-248-8234 LEWISTOWN PA YES NO05/09/199517044

392599 DCA OF LEMOYNE 717-730-0601 LEMOYNE PA YES NO06/06/199517043

392600 MILFORD DIALYSIS CENTER 570-296-6775 MILFORD PA YES NO07/28/199518337


PHILADELPHIA


392602 DCA OF WELLSBORO 570-724-4318 WELLSBORO PA YES NO09/28/199516901


FULLERTON, INC.

610-266-6581 WHITEHALL PA YES NO11/03/199518052


ELIZABETHTOWN

717-361-1015 ELIZABETHTOWN PA YES NO11/06/199517022


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

392605 FRESENIUS/TEMPLE DIALYSIS -

ONTARIO


392606 DAVITA - POCONO DIALYSIS

CENTER

570-476-6563 EAST

STROUDSBURG

PA NO NO10/20/199518301

392607 SOUTH PHILADELPHIA

DIALYSIS CENTER AT ST.

AGNES


392609 DAVITA OF LANCASTER 717-392-2155 LANCASTER PA YES NO07/23/199617602

392610 DCI OF OAKLAND 412-647-7370 PITTSBURGH PA YES NO01/01/199615213

392612 DCA OF BEDFORD 814-623-3297 EVERETT PA NO NO03/15/199615537


NORTHUMBERLAND COUNTY

570-339-9555 MT. CARMEL PA YES NO05/08/199617851


ABINGTON

215-830-0111 WILLOW GROVE PA YES NO06/17/199619090

392616 DIALYSIS CENTER AT ST.

MARYS

267-757-7806 NEWTOWN PA YES NO06/01/199618940


SELLERSVILLE, INC.

215-258-8589 SELLERSVILLE PA YES NO12/19/199618960


ROOSEVELT CAMPUS


392619 PALMER DIALYSIS CENTER 610-258-8885 EASTON PA YES NO12/23/199618045


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


CARBON COUNTY, INC.

610-379-9033 LEHIGHTON PA YES NO04/02/199718235


PITTSTON, INC.

570-655-5411 PITTSTON PA YES NO04/30/199718640

392622 DCI OF BEAVER FALLS /

CHIPPEWA

724-891-1504 BEAVER FALLS PA YES NO05/20/199715010

392623 DCI OF GROVE CITY 724-458-8087 GROVE CITY PA YES NO06/02/199716127


REDSTONE, INC.

724-785-5799 BROWNSVILLE PA YES NO07/01/199715417

392627 DCA OF CARLISLE 717-258-8309 CARLISLE PA YES NO07/28/199717013


SELINSGROVE

570-374-4116 SELINSGROVE PA YES NO08/06/199717870


CAMBRIA, INC.



RADNOR

610-254-4007 RADNOR PA NO NO07/25/199719087

392631 JENNERSVILLE DIALYSIS

CENTER

610-345-5018 WEST GROVE PA YES NO10/08/199719390


PENN HILLS, INC.



ALTOONA, INC.

814-944-4771 ALTOONA PA YES NO12/08/199716602


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


CUMBERLAND COUNTY, INC.

717-240-0294 CARLISLE PA YES NO03/20/199817013


ELKINS PARK

215-884-4339 ELKINS PARK PA YES NO03/25/199819027

392636 DCI OF SEVEN FIELDS 724-779-9393 SEVEN FIELDS PA YES NO06/03/199816046


GREENE COUNTY, INC.

724-966-6907 CARMICHAELS PA NO NO06/10/199815320

392638 KIDNEY TREATMENT CENTER -

SLATEBELT

610-863-3785 WIND GAP PA NO NO06/17/199818091

392639 DCI OF NORTH BOROUGH

CLINIC

412-766-6659 PITTSBURGH PA NO NO06/17/199815202


MONTGOMERY - EAST

610-277-7753 NORRISTOWN PA NO NO07/07/199819401


WAYNESBURG

724-627-7399 WAYNESBURG PA YES NO07/29/199815370


CRANBERRY, INC.

724-779-9977 CRANBERRY

TOWNSHIP

PA NO NO08/28/199816066

392644 DIALYSIS CENTER AT OXFORD

COURT

215-750-0983 LANGHORNE PA YES NO09/16/199819047

392646 DCI OF SHENANGO VALLEY 724-342-2304 HERMITAGE PA YES NO10/26/199816148


STATE COLLEGE, INC.

814-466-6702 STATE COLLEGE PA YES NO02/01/199816801


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

392648 DCA OF CHAMBERSBURG 717-263-3930 CHAMBERSBURG PA YES NO01/11/199917201


SWARTHMORE, INC.

610-541-1046 SWARTHMORE PA YES NO02/02/199919081


MILLERSBURG

717-692-2214 MILLERSBURG PA YES NO02/10/199917061


DONORA, INC.

724-379-9765 DONORA PA YES NO05/12/199915033


HARRISBURG



FAIRLESS HILLS CAMPUS

215-269-9686 LANGHORNE PA NO NO12/06/199919047

392656 DCA OF HUNTINGDON 814-643-3360 HUNTINGDON PA NO NO11/29/199916652

392657 DCI OF PARKS BEND 724-845-5331 VANDERGRIFT PA YES NO08/25/199915690

392658 RENAL CARE GROUP EAST, INC.

- MT. AIRY



PALMYRA/LEBANON COUNTY,

INC.

717-838-8605 PALMYRA PA YES NO12/31/199917078

392660 DCI OF CLARION 814-227-7222 CLARION PA YES NO01/07/200016214


TORRESDALE CAMPUS

215-633-3123 BENSALEM PA NO NO02/02/200019020


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


HOMESTEAD

412-476-6870 WEST HOMESTEAD PA YES NO02/16/200015120


GRADUATE, INC.



- GERMANTOWN


392665 RENAL CENTER OF

PHILADELPHIA, LLC


392666 RENAL CARE OF WARREN, LLC 814-728-8557 WARREN PA YES NO03/29/200016365

392667 DOYLESTOWN DIALYSIS

CENTER

215-348-8969 DOYLESTOWN PA YES NO03/22/200018901


SHALER



NANTICOKE, INC.

570-740-0482 NANTICOKE PA YES NO06/02/200018634


- LANSDALE

215-853-3830 LANSDALE PA NO NO05/11/200019446


THE CAPITAL AREA


392674 DCI OF NORTH VERSAILLES 412-675-5096 NORTH VERSAILLES PA YES NO03/26/200115137

392675 MON VALLEY DIALYSIS CLINIC,

INC.

724-258-8955 MONONGAHELA PA YES NO11/02/200015063


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

392676 DCI OF HARMAR VILLAGE 724-275-5780 CHESWICK PA YES NO12/11/200015024

392677 BUTLER COUNTY DIALYSIS

CENTER

724-431-1224 BUTLER PA YES NO12/13/200016001

392678 LOCK HAVEN DIALYSIS CLINIC 570-748-8380 LOCK HAVEN PA NO NO02/19/200117745


PENN HILLS

412-731-1365 PITTSBURGH PA NO NO03/16/200115235

392681 DCI OF PUNXSUTAWNEY 814-938-8904 PUNXSUTAWNEY PA YES NO03/20/200215767


HUNTINGDON VALLEY

215-379-9178 HUNTINGDON

VALLEY

PA NO NO06/01/200119006

392683 DCI OF INDIANA 724-465-5701 INDIANA PA YES NO12/17/200115701

392684 WILLIAMSPORT DIALYSIS

CLINIC

570-329-9330 MONTOURSVILLE PA YES NO04/19/200117754


KUTZTOWN, INC.

610-683-3976 KUTZTOWN PA YES NO05/14/200119530

392686 DAVITA OF EBENSBURG 814-472-2202 EBENSBURG PA NO NO05/01/200115931

392687 DAVITA OF JOHNSTOWN 814-266-6494 JOHNSTOWN PA YES NO05/01/200115904

392688 THE KIDNEY CENTER OF

GREATER HAZLETON

570-450-0087 HAZLETON PA YES NO08/13/200118202


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


BERWICK, INC.

570-752-2918 BERWICK PA YES NO11/19/200118603


DUNMORE, INC.

570-496-6117 DUNMORE PA YES NO08/03/200118509

392691 DCA OF MECHANICSBURG 717-790-0608 MECHANICSBURG PA YES NO01/14/200217055

392692 WASHINGTON DIALYSIS

CLINIC, INC.

724-229-9737 WASHINGTON PA YES NO12/17/200115301

392693 DCI OF HARMONY 724-869-9270 BADEN PA NO NO01/17/200215005


HAHNEMANN


392695 DCI OF HILLPOINTE 724-873-3124 CANONSBURG PA YES NO05/15/200215317

392696 ST. LUKES NORTH DIALYSIS

CENTER, L.P.

610-954-4288 BETHLEHEM PA YES NO05/01/200218017


MT. OLIVER, INC.


392698 DCI OF FIVE POINTS 412-823-3542 MONROEVILLE PA YES NO04/30/200315146


PITTSBURGH



MCKEESPORT WEST

412-672-2372 MCKEESPORT PA YES NO08/21/200215132


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

392701 WAYNESBORO DIALYSIS

FACILITY

717-765-5888 WAYNESBORO PA YES NO01/30/200317268

392702 DAVITA OF WALNUT TOWERS 215-629-9149 PHILADELPHIA PA YES NO07/31/200219107

392703 DAVITA OF FORD ROAD 215-473-3570 PHILADELPHIA PA YES NO07/31/200219131


CLEARFIELD

814-765-5758 CLEARFIELD PA NO NO10/21/200216830

392705 MOUNT POCONO DIALYSIS -

DAVITA

570-839-9090 TOBYHANNA PA NO NO03/10/200318466

392706 DAVITA OF EPHRATA 717-335-5739 STEVENS PA NO NO07/02/200317578

392707 DCA OF POTTSTOWN 610-718-8112 POTTSTOWN PA YES NO03/31/200419464


TAMAQUA, INC.

570-668-8649 TAMAQUA PA YES NO12/29/200318252

392709 DCI OF SQUIRREL HILL 412-521-1437 PITTSBURGH PA NO NO12/01/200315217


ELIZABETH

412-384-4182 ELIZABETH PA YES NO03/31/200415037


SOUTH ALLENTOWN, INC.

610-797-7765 ALLENTOWN PA YES NO07/07/200418103

392712 ARMSTRONG COUNTY DIALYSIS

CENTER

724-543-3182 KITTANNING PA YES NO05/26/200416201


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

392713 RENAL CARE OF CLARION 814-223-3465 CLARION PA YES NO10/13/200416214

392714 FRESENIUS MEDICAL CARE AT

NAZARETH


392715 NEW CASTLE DIALYSIS CENTER 724-652-2258 NEW CASTLE PA YES NO11/03/200416101

392717 LIBERTY DIALYSIS -

SOUTHPOINTE

724-745-5556 CANONSBURG PA YES NO07/27/200515317

392719 RENAL CARE OF WHITE OAK 412-673-3119 WHITE OAK PA NO NO09/28/200515131

392720 LIBERTY DIALYSIS - HOPEWELL 724-378-8630 ALIQUIPPA PA YES NO10/21/200515001

392723 DUNMORE DIALYSIS 570-558-8019 DUNMORE PA YES NO05/01/200518512

392724 CHILDS DIALYSIS 570-281-1920 CHILDS PA NO NO05/01/200518407

392725 TUNKHANNOCK DIALYSIS 570-836-6613 TUNKHANNOCK PA NO NO05/01/200518657

392726 OLD FORGE DIALYSIS 570-457-7317 ROWLAND PA NO NO05/01/200518457


PHILADELPHIA TRANSPLANT

CENTER


393307 ST. CHRISTOPHERS HOSPITAL

FOR CHILDREN TRANSPLANT

CENTER



Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

393500 ALLEGHENY KIDNEY

TREATMENT CENTER

724-935-5320 WEXFORD PA NO NO08/15/198615090

393503 THORN RUN DIALYSIS CENTER 412-269-9230 MOON TOWNSHIP PA YES NO12/02/199315108

393504 SOMERSET DIALYSIS CENTER 814-445-5612 SOMERSET PA YES NO03/14/199415501

393505 LITTLESTOWN DIALYSIS

CENTER

717-359-9811 LITTLESTOWN PA YES NO03/20/199617340

393506 ST. MARYS DIALYSIS CENTER 814-834-4518 ST MARYS PA YES NO03/12/199615857

393510 SUSQUEHANNA HEALTH

SYSTEM DIALYSIS

CENTER-SELINSGROVE

570-374-4557 SELINSGROVE PA NO NO06/11/199817870

393513 ALLEGHENY VALLEY DIALYSIS

CENTER

724-224-4438 NATRONA HEIGHTS PA YES NO06/01/199915065

393514 SCRANTON DIALYSIS 570-341-1827 SCRANTON PA NO NO10/13/199918501

393515 ROBERT PACKER HOSPITAL -

TOWANDA SATELLITE UNIT

570-265-5220 TOWANDA PA YES NO05/08/200018848

400007 RYDER MEMORIAL HOSPITAL 787-852-2076 HUMACAO PR YES NO08/11/1992402310 00792

400009 SANTA ROSA HOSPITAL ESRD 787-864-4010 GUAYAMA PR YES NO02/03/1995402313 00785

400013 CAYEY DIALYSIS CNTR 787-263-3100 CAYEY PR YES NO05/31/2001402314 00737


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

400016 AUXILIO MUTUO HOSP

TRANSPLANT

787-765-5765 HATO REY PR NO YES04/04/1983402301 00917

400021 HOSPITAL CONCEPCION 787-892-2186 SAN GERMAN PR YES NO09/02/1983402308 00683

400022 DAMAS HOSPITAL 787-840-0868 PONCE PR YES NO09/01/1977402302 00731

40003F VETERAN MC SAN JUAN 787-641-1758 SAN JUAN PR YES NO02/25/1978402303 00921

400044 PONCE REGIONAL HOSPITAL 787-844-4208 PONCE PR YES NO09/01/1977402304 00716

400061 CENTRO RENAL

UNIVERSITARIO

787-754-4010 SAN JUAN PR YES NO09/01/1977402305 00922

402501 FMC SAN JUAN 787-764-4564 SAN JUAN PR YES NO01/01/197200917

402502 FMC PONCE 787-844-4605 PONCE PR YES NO09/01/197700730

402503 FMC MAYAGUEZ 787-834-4533 MAYAGUEZ PR YES NO02/01/197700680

402504 FMC BAYAMON 787-787-7935 BAYAMON PR YES NO06/12/197900961

402505 FMC CAGUAS 787-743-3133 CAGUAS PR YES NO05/18/198200725

402506 FMC SAN GERMAN 787-892-2466 SAN GERMAN PR YES NO09/02/198300683


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

402507 FMC CAROLINA 787-257-7277 CAROLINA PR NO NO05/03/198400983

402508 FMC ARECIBO 787-878-8595 ARECIBO PR YES NO08/03/198700612

402509 FMC GUAYAMA 787-864-4428 GUAYAMA PR NO NO12/09/198700784

402510 ATLANTIS PONCE CNDS 787-841-1012 PONCE PR YES NO09/29/198800731

402513 FMC AGUADILLA 787-882-2121 AGUADILLA PR YES NO10/19/199000603

402514 FMC HUMACAO 787-850-0003 HUMACAO PR YES NO02/12/199200792

402515 FMC RIO PIEDRAS 787-764-4522 RIO PIEDRAS PR NO NO02/07/199200926

402517 FMC WEST PONCE

DIALICENTRO

787-259-9068 PONCE PR YES NO05/26/199300728

402518 FMC VEGA BAJA RENAL DC 787-858-8329 VEGA BAJA PR YES NO05/14/199600693

402519 ATLANTIS AGUADILLA

DIALYSIS

787-882-2611 AGUADILLA PR YES NO04/04/199700605

402521 ATLANTIS FAJARDO RENAL

CENTER

787-863-3058 FAJARDO PR YES NO04/22/199800738

402525 FMC MAYAGUEZ NO 787-834-4155 MAYAGUEZ PR YES NO11/21/200100681


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

402526 AGUADA DC 787-868-8206 AGUADA PR YES NO05/17/200200602

402527 ATLANTIS MAYAGUEZ MC 787-832-2210 MAYAGUEZ PR YES NO06/25/200200681

402528 FMC DR PILA DC 787-848-8004 PONCE PR YES NO06/26/200200732

402529 FMC ARECIBO NORTE 787-815-5164 ARECIBO PR NO NO06/26/200200612

402530 FMC AUXILIO MUTUO DC 787-758-8488 SAN JUAN PR YES NO06/01/200200917

402531 FMC YAUCO DC 787-267-7488 YAUCO PR YES NO06/02/200200698

402533 ATLANTIS-MANATI DC 787-854-4332 MANATI PR YES NO09/01/200200624

402534 ATLANTIS HRG GUAYNABO DC 787-999-9708 GUAYNABO PR NO NO07/14/200300969

402535 ATLANTIS LARES 787-897-7676 LARES PR YES NO06/17/200300669

402536 ATLANTIS SAN SEBASTIAN DC 787-280-0676 SAN SEBASTIAN PR NO NO06/17/200300685

403301 UNIVERSITY PEDIATRIC

HOSPITAL

787-777-7353 SAN JUAN PR YES NO10/28/1993402312 00919

410007 RHODE ISLAND HOSPITAL 401-444-4525 PROVIDENCE RI NO YES08/31/1977412300 02903


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

410007 RHODE ISLAND HOSPITAL -

TRANSPLANT

401-444-4856 PROVIDENCE RI NO YES08/31/197702903

410012 MIRIAM HOSPITAL 401-793-3305 PROVIDENCE RI NO NO08/31/197702906


PROVIDENCE

401-273-3710 NORTH

PROVIDENCE

RI YES NO01/01/197702908


RHODE ISLAND

401-438-8593 RIVERSIDE RI NO NO08/30/197702915


WARWICK

401-738-8405 WARWICK RI YES NO08/09/197702886


WESTERLY

401-596-6036 WESTERLY RI YES NO11/19/198002891


WOONSOCKET

401-765-5499 WOONSOCKET RI YES NO04/14/198602895


WARWICK

401-823-3842 WARWICK RI YES NO09/10/199202886

412505 NNA OF PROVIDENCE 401-521-1930 PROVIDENCE RI YES NO12/18/199202904


NORTH PROVIDENCE

401-354-4534 NO. PROVIDENCE RI YES NO06/07/199302904


WAKEFIELD

401-792-2345 NARRAGANSETT RI YES NO12/16/199302879


TIVERTON

401-624-4440 TIVERTON RI YES NO09/03/199802878


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


PAWTUCKET

401-722-2331 PAWTUCKET RI YES NO04/09/199902860


PROVIDENCE

401-273-3489 PROVIDENCE RI YES NO08/13/199902907

412511 NNA - PAWTUCKET 401-723-3999 PAWTUCKET RI NO NO03/09/200402860

412512 DIALYSIS CENTER OF EAST

PROVIDENCE

401-435-5520 EAST PROVIDENCE RI YES NO06/04/200402914


CRANSTON

401-780-0968 CRANSTON RI YES NO11/22/200402920


JOHNSTON

401-521-1040 JOHNSTON RI YES NO04/29/200502919

420004 MEDICAL UNIVERSITY OF

SOUTH CAROLINA TRANSPLANT

843-792-2072 CHARLESTON SC NO YES09/01/197629425

42011F DORN VA MEDICAL CENTER

COLUMBIA

803-776-6400 COLUMBIA SC NO NO01/01/198829209

42029F VA MEDICAL CENTER RALPH H

JOHNSON VAMC

843-789-9741 CHARLESTON SC NO NO01/01/198829401

422502 DCI CHARLESTON 843-723-3720 CHARLESTON SC NO NO09/04/197429401

422503 TWIN OAKS DIALYSIS 864-242-2080 GREENVILLE SC YES NO09/01/197629605

422504 BMA OF COLUMBIA INC 803-779-9751 COLUMBIA SC NO NO09/01/197629203


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

422505 FLORENCE DIALYSIS CENTER 843-669-9082 FLORENCE SC NO NO09/01/197629501

422506 FMC ANDERSON DIALYSIS

CLINIC

864-224-4167 ANDERSON SC YES NO08/16/197729621


ORANGEBURG

803-533-3155 ORANGEBURG SC YES NO12/03/197929118

422509 BMA OF CAMDEN INC 803-425-5900 CAMDEN SC NO NO05/01/198029020

422510 FMC SUMTER DIALYSIS 803-469-9280 SUMTER SC YES NO05/01/198029150

422511 DCI SPARTANBURG 864-585-5204 SPARTANBURG SC NO NO07/21/198029303

422512 GAMBRO HEALTHCARE AIKEN 803-641-1422 AIKEN SC NO NO07/07/198029801

422513 DCI WEST ASHLEY 843-766-6231 CHARLESTON SC YES NO11/22/198029407

422514 BMA OF BEAUFORT INC LOW

COUNTRY DIALYSIS

843-524-4237 PORT ROYAL SC YES NO02/10/198129935


GREENWOOD

864-227-7601 GREENWOOD SC YES NO05/19/198129646

422516 RAI CARE CENTERS N

CHARLESTON


422517 BMA OF LEXINGTON INC 803-358-8014 LEXINGTON SC NO NO01/07/198329073


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

422518 BMA OF CHESTER INC 803-377-7812 CHESTER SC NO NO05/30/198329706

422519 FMC OF GEORGETOWN INC 843-527-7343 GEORGETOWN SC YES NO06/27/198329440

422520 BENNETTSVILLE DIALYSIS

CENTER

843-479-9381 BENNETTSVILLE SC YES NO09/14/198329512

422521 FMC KINGSTREE DIALYSIS 843-382-2979 KINGSTREE SC YES NO11/11/198529556

422522 DCI EAST SPARTANBURG 864-585-5484 SPARTANBURG SC YES NO12/20/198529307

422524 DCI AZALEA PLACE 843-863-3897 CHARLESTON SC NO NO07/03/198629406


BARNWELL

803-259-9580 BARNWELL SC NO NO12/06/198629812

422527 DCI EAST COOPER 843-881-1834 MT PLEASANT SC NO NO01/06/198729464


WALTERBORO

843-549-9674 WALTERBORO SC YES NO02/27/198729488


COLUMBIA

803-771-1051 COLUMBIA SC YES NO03/13/198729203

422530 DARLINGTON DIALYSIS

CENTER INC

843-393-3168 DARLINGTON SC NO NO05/17/198729532

422531 FMC OF NEWBERRY 803-276-6286 NEWBERRY SC NO NO09/16/198729108


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

422532 DILLON DIALYSIS CENTER 843-774-4368 DILLON SC NO NO11/06/198729536

422533 RAI CARE CENTERS MONCKS

CORNER

843-899-9495 MONCKS CORNER SC NO NO11/18/198729461


BAMBERG

803-245-5516 BAMBERG SC NO NO04/11/198829003

422535 LORIS DIALYSIS CENTER 843-756-6030 LORIS SC NO NO06/01/198829569

422536 FMC OCONEE DIALYSIS CLINIC

INC

864-885-5027 SENECA SC NO NO08/10/198829678

422537 MANNING DIALYSIS FACILITY 803-435-5442 MANNING SC NO NO09/06/198829102

422538 ROCK HILL DIALYSIS CENTER 803-802-2248 FORT MILL SC YES NO09/20/198829715

422539 GREER KIDNEY CENTER INC 864-877-7800 GREER SC NO NO10/05/198829651

422540 UPSTATE DIALYSIS CENTER 864-271-1370 GREENVILLE SC YES NO10/08/198829605

422541 EASLEY DIALYSIS CENTER 864-855-5620 EASLEY SC NO NO11/02/198829640

422542 CONWAY DIALYSIS CENTER 843-347-7511 CONWAY SC NO NO04/13/198929526

422543 BMA OF SOUTH COLUMBIA 803-779-9407 COLUMBIA SC NO NO07/05/198929203


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

422545 FMC MARION DIALYSIS CENTER 843-423-3467 MARION SC NO NO10/11/198929571

422546 MIDTOWN DIALYSIS CENTER 803-771-1010 COLUMBIA SC YES NO04/25/199029201

422547 GAMBRO HEALTHCARE SANTEE 803-854-4313 SANTEE SC NO NO06/01/199229142

422548 FMC HILTON HEAD DIALYSIS

CENTER

843-681-1584 HILTON HEAD

ISLAND

SC YES NO10/16/199229926


LANCASTER

803-283-3633 LANCASTER SC YES NO03/15/199329720

422550 BMA OF WEST COLUMBIA 803-733-3176 WEST COLUMBIA SC NO NO10/18/199329169

422551 CHESTERFIELD CO DIALYSIS

CENTER

843-623-3367 CHESTERFIELD SC NO NO02/02/199429709

422552 DCI UNION 864-429-9294 UNION SC NO NO09/07/199429379

422553 DCI GAFFNEY 864-487-7172 GAFFNEY SC NO NO09/21/199429340


AUGUSTA

803-442-2448 NORTH AUGUSTA SC NO NO06/02/199529841


SUMMERVILLE

843-875-5980 SUMMERVILLE SC NO NO09/29/199529485


ALLENDALE FAIRFAX

803-632-2151 FAIRFAX SC NO NO11/03/199529827


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


EDGEFIELD

803-637-7225 EDGEFIELD SC NO NO01/23/199629824


WINNSBORO

803-635-5609 WINNSBORO SC NO NO03/26/199629180

422560 DCI WEST SPARTANBURG 864-574-4882 SPARTANBURG SC NO NO03/18/199629301

422562 GAMBRO HEALTHCARE ST

MATTHEWS

803-655-5775 SAINT MATTHEWS SC NO NO08/08/199629135

422563 DCI MAGNOLIA COURT 843-853-3339 CHARLESTON SC YES NO11/13/199629403

422564 BMA OF LOWER RICHLAND INC 803-695-5362 COLUMBIA SC NO NO02/21/199729209


ORANGEBURG

803-539-9008 ORANGEBURG SC NO NO03/12/199729115

422566 LEE COUNTY DIALYSIS CENTER

INC

803-484-4967 BISHOPVILLE SC NO NO06/30/199729010

422567 RCG GREENVILLE DIALYSIS

CENTER

864-233-3986 GREENVILLE SC YES NO08/07/199729601

422568 DCI JAMES ISLAND 843-795-5838 CHARLESTON SC NO NO03/18/199929412


NORTH MYRTLE BEACH

843-361-1170 NORTH MYRTLE

BEACH

SC YES NO03/31/199929582

422570 FMC DIALYSIS SERVICES THE

MARSHLANDS

843-987-7011 RIDGELAND SC YES NO05/06/199929936


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


MURRELLS INLET

843-357-7484 MURRELLS INLET SC NO NO06/30/199929576

422572 FMC MEADOWLAKE DIALYSIS 803-754-4737 COLUMBIA SC NO NO02/17/200029203

422573 FMC DIALYSIS SERVICES LAKE

MARION

803-485-5234 SUMMERTON SC NO NO03/09/200029148

422574 FREEDOM DIALYSIS CENTER 843-667-7065 FLORENCE SC YES NO04/05/200029505


CHARLESTON

843-766-6465 CHARLESTON SC YES NO05/17/200029414

422576 PEE DEE DIALYSIS CENTER 843-394-4394 LAKE CITY SC NO NO06/08/200029560

422577 DIALYSIS CLINIC INC

LANDRUM

864-457-7243 LANDRUM SC NO NO07/13/200029356

422578 RENAL CARE GROUP PALMETTO 864-833-3071 CLINTON SC NO NO01/23/200129325

422579 FMC SIMPSONVILLE DIALYSIS 864-963-3727 SIMPSONVILLE SC NO NO03/01/200129681


ANDREWS

843-221-1545 ANDREWS SC NO NO05/15/200129510

422581 FAIRFIELD COUNTY DIALYSIS 803-712-2673 WINNSBORO SC NO NO06/07/200129180

422582 FMC DIALYSIS SERVICES IRMO 803-749-9708 IRMO SC NO NO07/17/200129063


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

422583 FMC NORTH AUGUSTA

DIALYSIS CENTER

803-819-9913 NORTH AUGUSTA SC NO NO11/15/200129841


SIMPSONVILLE

864-962-2222 SIMPSONVILLE SC NO NO01/17/200229681

422585 CHARLESTON RENAL CARE LLC 843-767-7820 CHARLESTON SC YES NO01/24/200229418


HARTSVILLE

843-383-3952 HARTSVILLE SC NO NO09/18/200229550


COLUMBIA NORTH

803-865-5055 COLUMBIA SC NO NO10/15/200229203

422588 HAMPTON REGIONAL MEDICAL

CENTER DIALYSIS

803-943-3433 VARNVILLE SC NO NO11/05/200229944


YORK COUNTY

803-328-8311 ROCK HILL SC NO NO05/20/200329732

422590 DCI PORT ROYAL 843-521-1430 BEAUFORT SC NO NO06/18/200329906

422591 NRA ORANGEBURG DIALYSIS 803-531-1750 ORANGEBURG SC NO NO06/17/200329115


PAGELAND

843-672-2349 PAGELAND SC NO NO09/11/200329728

422593 NRA HOLLY HILL DIALYSIS

CENTER

803-496-6280 HOLLY HILL SC NO NO10/14/200329059

422594 BAMBERG DIALYSIS 803-245-5177 BAMBERG SC NO NO10/23/200329003


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

422595 DCA OF AIKEN 803-648-8025 AIKEN SC YES NO03/03/200429801

422596 CHARLESTON RENAL CARE LLC

GOOSE CREEK

843-377-7119 GOOSE CREEK SC NO NO05/19/200429445

422597 DAVITA PENDLETON DIALYSIS 864-646-6771 PENDLETON SC NO NO12/16/200429670

422598 CHARLESTON RENAL CARE

FABER PLACE



OF PENDLETON

864-646-6660 PENDLETON SC NO NO03/23/200529670

422601 MT PLEASANT DIALYSIS

CENTER

843-884-4311 MOUNT PLEASANT SC YES NO09/21/200529464

430005 PRAIRIE LAKES HEALTHCARE

SYSTEM

605-882-2790 WATERTOWN SD NO NO09/01/1977432300 57201

430011 HURON REGIONAL MEDICAL

CENTER

605-353-3651 HURON SD NO NO08/18/197757350

430012 AVERA SACRED HEART -

YANKTON DIALYSIS

605-668-8862 YANKTON SD NO NO12/01/198657078

430014 AVERA ST LUKES HOSPITAL 605-622-2555 ABERDEEN SD NO NO07/14/197757401

430015 ST MARYS HEALTHCARE

CENTER

605-224-4341 PIERRE SD NO NO10/10/198057501

430016 AVERA MCKENNAN

TRANSPLANT INSTITUTE

605-322-2735 SIOUX FALLS SD NO YES02/17/199357105


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

430027 SIOUX VALLEY HOSPITAL 605-333-3100 SIOUX FALLS SD YES NO08/08/197757117

430047 AVERA GREGORY HEALTHCARE

CENTER DIALYSIS

605-835-5839 GREGORY SD NO NO05/01/200257533

430077 REGIONAL DIALYSIS CENTER 605-719-9695 RAPID CITY SD YES NO07/19/1977432304 57701

432501 BLACK HILLS DIALYSIS - EAGLE

BUTTE

605-964-4231 EAGLE BUTTE SD NO NO01/10/199457625

432503 SIOUX FALLS DIALYSIS-

DAVITA

605-322-2727 SIOUX FALLS SD YES NO02/16/199557105

432504 ROSEBUD DIALYSIS OF DAVITA 605-747-7291 ROSEBUD SD NO NO07/06/199557570

432505 MITCHELL COMM DIALYSIS OF

DAVITA

605-995-5563 MITCHELL SD NO NO08/11/199557301

432507 VA MEDICAL CENTER - HOT

SPRINGS

605-745-5200 HOT SPRINGS SD NO NO01/04/200157747

432508 BLACK HILLS DIALYSIS - PINE

RIDGE

605-867-7598 PINE RIDGE SD NO NO03/05/200257770

432509 DIALYSIS MGT GROUP -

PORCUPINE

605-867-7231 PORCUPINE SD YES NO09/09/200457772

433502 MID-DAKOTA DIALYSIS UNIT 605-234-4727 CHAMBERLAIN SD NO NO10/30/199657325

433505 SISSETON SATELLITE DIALYSIS 605-698-8456 SISSETON SD NO NO12/02/199857262


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

433506 REGIONAL DIALYSIS CENTER -

SPEARFISH

605-644-4900 SPEARFISH SD NO NO08/27/199957783

433507 MADISON DIALYSIS OF SIOUX

VALLEY HOSP

605-256-6887 MADISON SD NO NO04/24/200057042


BROOKINGS

605-696-6776 BROOKINGS SD NO NO05/14/2003433508 57006

433509 WAGNER DIALYSIS OF SIOUX

VALLEY HOSP

605-384-4373 WAGNER SD NO NO11/12/200357380

440015 UNIVERSITY OF

TENNESSEE-KNOXVILLE

865-544-4849 KNOXVILLE TN YES YES12/31/1984442309 37920

440015 UNIVERSITY OF

TENNESSEE-KNOXVILLE

TRANSPLANT

865-544-4923 KNOXVILLE TN NO YES12/31/1984442309 37920

440039 VANDERBILT RENAL

TRANSPLANT

615-936-6069 NASHVILLE TN YES YES10/30/1976442301 37232

440049 METHODIST

HEALTHCARE-TRANSPLANT

PROGRAM

901-516-6904 MEMPHIS TN NO YES07/27/200438104

440054 WOODS MEMORIAL REG

DIALYSIS CENTER

423-263-3366 ETOWAH TN NO NO11/20/1992442314 37331

440063 JOHNSON CITY TRANSPLANT

CENTER

423-431-1616 JOHNSON CITY TN NO YES03/20/1991442313 37604

440082 ST. THOMAS HOSPITAL 615-222-2661 NASHVILLE TN NO YES07/28/1989442311 37205

440104 ERLANGER REGIONAL KIDNEY

TRANSPLANT

423-778-8809 CHATTANOOGA TN NO YES09/12/1989442312 37403


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

440104 ERLANGER REGIONAL KIDNEY

DIALYSIS

423-778-8724 CHATTANOOGA TN NO YES09/12/198937403

44013F VA-MEMPHIS 901-523-3899 MEMPHIS TN YES NO01/01/198338104

440161 CENTENNIAL TRANSPLANT

CENTER

615-342-2562 NASHVILLE TN NO YES06/30/1989442310 37203

44018F VA-NASHVILLE DIALYSIS UNIT

111-A

615-327-7475 NASHVILLE TN YES YES01/01/197237212

44018F VA-NASHVILLE 615-327-7475 NASHVILLE TN NO YES01/01/197237212

442501 FMC-JOHNSON CITY 423-929-9718 JOHNSON CITY TN YES NO04/01/197337604


INC.-NASHVILLE

615-327-7398 NASHVILLE TN YES NO04/01/197137208


INC.-KNOXVILLE

865-573-3394 KNOXVILLE TN YES NO09/01/197637920


INC.-JACKSON

731-668-8080 JACKSON TN YES NO09/01/197638305


INC.-CHATTANOOGA

423-698-8092 CHATTANOOGA TN YES NO09/01/197637404


INC.-MADISON

615-865-5731 MADISON TN NO NO09/01/197637115


COOKEVILLE

931-528-8748 COOKEVILLE TN YES NO11/13/197938501


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

442513 FMC OAK RIDGE 865-482-2765 OAK RIDGE TN YES NO07/16/198037830

442514 DIALYSIS CLINIC, INC.-EAST

RIDGE

423-894-4813 EAST RIDGE TN NO NO10/01/198037412

442517 MORRISTOWN DIALYSIS

CENTER

423-587-7353 MORRISTOWN TN YES NO08/06/198137814

442518 CUMBERLAND DIALYSIS

CENTER

931-645-5123 CLARKSVILLE TN NO NO08/03/198137043

442519 FMC-BRISTOL 423-652-2224 BRISTOL TN YES NO02/20/198137621

442522 FMC-EASTERN TENNESSEE 423-638-8120 GREENEVILLE TN NO NO07/12/198237745

442523 GAMBRO

HEALTHCARE-MEMPHIS

UNIVERSITY CENTER

901-725-5539 MEMPHIS TN YES NO04/01/200038104

442524 FMC-EAST MEMPHIS 901-367-7100 MEMPHIS TN YES NO02/09/198438115

442527 NORTH KNOXVILLE DIALYSIS

CENTER


442528 DCI MURFREESBORO 615-890-0774 MURFREESBORO TN YES NO11/07/198437130

442530 EAST KNOXVILLE DIALYSIS

CENTER



INC.-MARYVILLE

865-983-3221 MARYVILLE TN NO NO05/06/198537804


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


INC.-HUMBOLDT

731-784-4438 HUMBOLDT TN NO NO07/01/198538343


DYERSBURG

731-286-6518 DYERSBURG TN YES NO08/29/198538024


INC.-DICKSON

615-446-6011 DICKSON TN NO NO01/30/198637055

442537 LAFOLLETTE DIALYSIS CENTER 423-562-2208 LAFOLLETTE TN NO NO02/24/198637766


INC.-BROWNSVILLE

731-772-2215 BROWNSVILLE TN NO NO02/28/198738012


COLUMBIA

931-381-1444 COLUMBIA TN YES NO04/18/198638401

442540 GAMBRO HEALTHCARE - WHITE

BRIDGE



INC.-SOUTHERN HILLS



MURFREESBORO

615-890-0727 MURFREESBORO TN YES NO01/14/198737130

442550 CARRIAGE DIALYSIS 731-668-8564 JACKSON TN NO NO02/13/198738305

442553 FMC WEST KNOXVILLE 865-966-6510 KNOXVILLE TN NO NO09/14/198737922


INC.-CHATTANOOGA

423-756-6880 CHATTANOOGA TN NO NO09/14/198837409


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


CLARKSVILLE

931-645-5969 CLARKSVILLE TN YES NO09/28/198837043


MCMINNVILLE

931-473-3955 MCMINNVILLE TN NO NO02/16/198937110

442562 DIALYSIS CLINIC, INC.-PARIS 731-644-4076 PARIS TN NO NO12/01/198938242


INC.-MEDICAL CENTER


442565 DIALYSIS CLINIC, INC.-HIXSON 423-875-5002 HIXSON TN NO NO12/14/199037343


INC.-DAYTON

423-775-5338 DAYTON TN NO NO12/14/199037321

442567 APPALACHIAN DIALYSIS

CENTER

423-626-6124 NEW TAZEWELL TN YES NO01/23/199137825

442569 FMC-NORTH PARKWAY

DIALYSIS

901-528-8013 MEMPHIS TN YES NO04/30/199138105

442571 DIALYSIS CLINIC, INC.-CAMP

OKAWEHNA

615-327-7306 NASHVILLE TN NO NO06/10/199137203


INC.-CLARKSVILLE HWY



MEMPHIS-CENTRAL

901-525-5171 MEMPHIS TN NO NO09/01/197638126

442574 FMC ROANE COUNTY 865-882-2620 HARRIMAN TN NO NO12/01/199237748


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


MEMPHIS EAST

901-747-7390 MEMPHIS TN YES NO03/22/199338120

442577 FMC-KINGSPORT 423-245-5646 KINGSPORT TN NO NO03/22/199337660

442579 BRADLEY DIALYSIS CLINIC 423-476-6616 CLEVELAND TN YES NO04/28/199337312


INC.-LEBANON

615-444-4795 LEBANON TN YES NO05/12/199337087

442583 VANDERBILT DIALYSIS CLINIC 615-343-3367 NASHVILLE TN YES NO05/13/199437212


INC.-SHELBYVILLE

931-684-4304 SHELBYVILLE TN NO NO07/08/199437160


FRANKLIN

615-794-4442 FRANKLIN TN NO NO09/09/199437064


INC.-SEVIERVILLE

865-453-3406 SEVIERVILLE TN NO NO02/27/199537862

442591 FMC-GRACELAND 901-398-8116 MEMPHIS TN YES NO10/02/199538116

442592 SELMER DIALYSIS 731-645-5493 SELMER TN NO NO12/03/199638375

442593 MKDS-FMC-NORTH MEMPHIS 901-388-8174 MEMPHIS TN YES NO02/23/199638128

442594 DIALYSIS CLINIC, INC.-SUMMIT 615-889-9344 HERMITAGE TN NO NO02/05/199637076


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

442595 FMC-ATHENS 423-507-7971 ATHENS TN NO NO11/01/199637371

442596 DIALYSIS CLINIC, INC.-LYERLY 423-698-8642 CHATTANOOGA TN NO NO10/29/199637404

442598 HUMBOLDT DIALYSIS 731-824-4274 HUMBOLDT TN NO NO02/06/199738343

442599 BROWNSVILLE DIALYSIS 731-772-2373 BROWNSVILLE TN NO NO01/16/199738012

442600 STONEGATE DIALYSIS 731-664-4744 JACKSON TN YES NO02/06/199738305

442601 BOLIVAR DIALYSIS 731-658-8382 BOLIVAR TN NO NO03/06/199738008

442603 FMC-TIPTON COUNTY 901-475-5155 COVINGTON TN NO NO05/07/199738019


TIPTON COUNTY

901-475-5041 COVINGTON TN NO NO03/26/199738019

442605 RENAL CARE GROUP MEMPHIS

SOUTH

901-369-9601 MEMPHIS TN NO NO07/24/199738118

442606 FMC-WEST KINGSPORT 423-230-0046 KINGSPORT TN YES NO08/08/199737660

442607 CAMDEN DIALYSIS 731-584-4044 CAMDEN TN NO NO01/21/199838320

442608 DIALYSIS ASSOCIATES OF

PULASKI

931-424-4666 PULASKI TN NO NO03/09/199838478


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

442609 DIALYSIS ASSOCIATES - HOME

TRAINING


442610 MKDS-FMC-MEMPHIS

MIDTOWN

901-725-5758 MEMPHIS TN YES NO03/27/199838104

442611 GALLERIA DIALYSIS 901-380-0151 LAKELAND TN NO NO03/31/199838002

442612 GAMBRO - LAWRENCEBURG 931-762-2313 LAWRENCEBURG TN YES NO05/11/199838464


COLUMBIA

931-380-0909 COLUMBIA TN YES NO04/29/199838401


SPRINGFIELD

615-384-4893 SPRINGFIELD TN NO NO05/21/199837172

442615 DIALYSIS ASSOCIATES OF W.

NASHVILLE



GALLATIN

615-451-1009 GALLATIN TN NO NO04/30/199837066

442617 GAMBRO

HEALTHCARE-CUMBERLAND

615-865-5151 MADISON TN YES NO07/29/199837115

442618 FMC - MORRISTOWN 423-587-7839 MORRISTOWN TN YES NO08/17/199837813

442619 RENAL CARE GROUP-MARTIN 731-587-7339 MARTIN TN YES NO09/04/199838237

442621 FMC - MOUNTAIN CITY 423-727-7567 MOUNTAIN CITY TN NO NO09/30/199837683


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

442622 LEXINGTON DIALYSIS 731-967-7919 LEXINGTON TN NO NO10/23/199838351

442623 GAMBRO

HEALTHCARE-SUMNER

615-452-2513 GALLATIN TN YES NO12/02/199837066

442624 DIALYSIS ASSOCIATES -

TULLAHOMA

931-461-1901 TULLAHOMA TN NO NO12/11/199837388

442625 MKDS-FMC-WHITEHAVEN 901-398-8638 MEMPHIS TN YES NO02/19/199938116


JASPER

423-942-2997 JASPER TN NO NO01/13/199937347


MADISON

615-870-0150 MADISON TN NO NO01/25/199937115

442629 FMC ELK RIVER DIALYSIS 931-438-8239 FAYETTEVILLE TN NO NO05/06/199937334

442630 DIALYSIS ASSOCIATES -

FRANKLIN

615-599-9981 FRANKLIN TN NO NO06/07/199937067

442632 PICKWICK DIALYSIS 731-926-6318 SAVANNAH TN NO NO12/09/199938372

442634 FMC LOUDON DIALYSIS 865-986-6525 LENOIR CITY TN YES NO02/08/200137772

442635 DCI HOLSTON RIVER CLINIC 865-523-3375 KNOXVILLE TN NO NO02/12/200137924

442636 EAST TN DIALYSIS CTR, INC. 865-681-1290 MARYVILLE TN NO NO01/29/200137804


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

442637 RENAL CARE GROUP-CENTRAL

MEMPHIS

901-278-8540 MEMPHIS TN YES NO07/01/200138104

442638 PD DIALYSIS CENTER OF

MIDDLE TN


442639 BLOUNT DIALYSIS CENTER 865-379-9107 MARYVILLE TN NO NO12/17/200137804


NORTH

901-937-7065 MEMPHIS TN NO NO12/06/200138128

442641 DYERSBURG KIDNEY CLINIC 731-285-5022 DYERSBURG TN NO NO01/25/200238024

442642 DIALYSIS ASSOC. OF EAST

NASHVILLE



PORTLAND

615-323-3706 PORTLAND TN YES NO02/13/200237148

442644 FMC DIALYSIS SVS. OF FORT

SANDERS


442645 DIALYSIS ASSOC. OF

MURFREESBORO-HT

615-849-9253 MURFREESBORO TN YES NO03/15/200237130

442646 NNA OF MEMPHIS CENTRAL 901-722-2201 MEMPHIS TN YES NO03/06/200238104


EAST

901-757-7411 GERMANTOWN TN YES NO07/05/200238138

442648 COLLIERVILLE DIALYSIS 901-853-3780 COLLIERVILLE TN YES NO05/06/200238017


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

442649 GAMBRO

HEALTHCARE-MEMPHIS SOUTH

901-346-6663 MEMPHIS TN NO NO06/10/200238116

442650 NNA OF MEMPHIS SOUTH 901-332-2869 MEMPHIS TN YES NO08/09/200238116

442651 CHATTANOOGA KIDNEY

CENTER, LLC

423-648-8490 CHATTANOOGA TN NO NO08/14/200237421

442652 STONEGATE PD DIALYSIS 731-668-8711 JACKSON TN YES NO11/04/200238305

442653 DIALYSIS ASSOC. OF SMYRNA 615-625-5000 SMYRNA TN NO NO04/11/200337167

442654 VANDERBILT DIALYSIS CLINIC

EAST



WHITEHAVEN

901-396-6379 MEMPHIS TN NO NO02/01/200338116

442656 CROSSVILLE DIALYSIS CLINIC 931-484-4450 CROSSVILLE TN YES NO12/08/200438555

442657 RCG UNION CITY 731-884-4091 UNION CITY TN YES NO06/29/200438261


NEWPORT

423-613-3900 NEWPORT TN NO NO03/15/200537821

442659 FMCNA COLLIERVILLE 901-861-1804 COLLIERVILLE TN NO NO03/23/200538017

442660 RCG-GALLERIA 901-380-0575 MEMPHIS TN YES NO04/29/200538133


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

442661 DCI INC.- BEECH LAKE 731-968-8251 LEXINGTON TN NO NO10/03/200538351

442662 MCMINNVILLE RCG 931-474-4560 MCMINNVILLE TN NO NO02/03/200637110

443301 LEBONHEUR CHILDRENS

HOSPITAL DIALYSIS

901-572-2313 MEMPHIS TN YES YES06/18/1984442307 38103

443301 LEBONHEUR CHILDRENS

HOSPITAL

901-572-2313 MEMPHIS TN NO YES06/18/1984442307 38103

450014 MEMORIAL MEDICAL PLAZA

DIALYSIS

361-551-1256 PORT LAVACA TX NO NO04/06/2000452370 77979

450015 PARKLAND HOSPITAL, ESRD

TRANSPLANT SERVICES

214-590-0565 DALLAS TX NO YES09/30/1984452301 75235

450018 UNIVERSITY OF TEXAS

MEDICAL BRANCH

409-772-2673 GALVESTON TX YES YES08/31/1977452303 77555

450018 UNIVERSITY OF TEXAS

MEDICAL BRANCH TRANSPLANT

409-772-2538 GALVESTON TX NO YES08/31/1977452303 77555

450021 BAYLOR UNIVERSITY MEDICAL

CENTER, ESRD TRANSPLANT

214-820-0383 DALLAS TX NO YES06/27/1985452347 75246

450033 VALLEY BAPTIST MEDICAL

CENTER

956-389-9234 HARLINGEN TX YES NO09/01/1986452352 78550

450040 COVENANT MEDICAL CENTER

TRANSPLANT UNIT

806-725-5059 LUBBOCK TX NO YES04/01/1999452326 79410

450044 UT SOUTHWESTERN ST. PAUL

HOSPITAL TRANSPLANT

SERVICES

214-645-5191 DALLAS TX NO YES09/26/2005452381 75235


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

450051 METHODIST HOSPITAL DALLAS

TRANSPLANT INSTITUTE

214-947-7180 DALLAS TX NO YES09/30/1984452308 75203

450054 SCOTT & WHITE TRANSPLANT 254-724-4844 TEMPLE TX NO YES02/07/1997452365 76508

450068 MEMORIAL HERMANN

HOSPITAL

713-704-4009 HOUSTON TX YES YES04/01/1977452309 77030

450068 MEMORIAL HERMANN

HOSPITAL TRANSPLANT


450083 EAST TEXAS MEDICAL

CENTER TRANSPLANT

903-531-1812 TYLER TX NO YES10/09/1987452353 75701

450090 THE DIALYSIS COTTAGE 940-612-2880 GAINESVILLE TX YES NO03/07/2000452369 76240

450135 HARRIS METHODIST FT WORTH

TRANSPLANT

817-882-2244 FORT WORTH TX NO YES10/30/1985452337 76104

450137 BAYLOR ALL SAINTS MEDICAL

CENTER TRANSPLANT CENTER

817-922-2465 FORT WORTH TX NO YES09/05/2002452373 76104

450193 ST LUKES EPISCOPAL

HOSPITAL

832-355-5312 HOUSTON TX NO YES09/26/1986452350 77030

450201 REEVES COUNTY HOSPITAL

DIALYSIS CENTER

432-447-7222 PECOS TX NO NO09/10/2004452378 79772

450211 HENDERSON KIDNEY DISEASE

CENTER

936-639-9771 LUFKIN TX NO NO11/10/1981452345 75901

450213 UNIVERSITY HOSPITAL RENAL 210-358-8267 SAN ANTONIO TX YES YES08/31/1977452362 78229


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

450213 UNIVERSITY HOSPITAL RENAL

TRANSPLANT SERVICES

210-567-7577 SAN ANTONIO TX NO YES08/31/1977452362 78229

450237 CHRISTUS SANTA ROSA

MEDICAL CNTR TRANSPLANT

210-705-5670 SAN ANTONIO TX NO YES07/01/1999452368 78229

450271 WISE REGIONAL HEALTH

SYSTEM DIALYSIS CENTER

940-626-6170 DECATUR TX NO NO10/01/2004452379 76234

450358 METHODIST HOSPITAL OUTPAT

DIA


450358 METHODIST HOSPITAL ESRD

TRANSPLANT SERVICES

713-441-1549 HOUSTON TX NO YES09/01/1977452324 77030

450388 SOUTHWEST TEXAS

METHODIST HOSPITAL

210-575-5468 SAN ANTONIO TX YES YES02/06/2002452371 78229

450508 MEMORIAL HOSPITAL 936-568-8851 NACOGDOCHES TX NO NO08/31/1977452331 75961

450584 WILBARGER GENERAL

HOSPITAL DIALYSIS OF

VERNON

940-552-2935 VERNON TX NO NO06/06/2003452374 76384

450647 MEDICAL CITY DALLAS RENAL

TRANSPLANT

972-566-6676 DALLAS TX NO YES07/08/1999452367 75230

450668 SIERRA MEDICAL CENTER 915-747-7274 EL PASO TX NO YES01/01/1988452351 79902

45066F DALLAS VETERANS MEDICAL

CENTER

214-857-7158 DALLAS TX YES NO01/01/197275216

450686 UNIVERSITY MEDICAL CENTER

TRANSPLANT SERVICES

806-761-1071 LUBBOCK TX NO YES07/13/1990452357 79408


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

45069F BROOK ARMY MEDICAL

CENTER

210-916-6302 FORT SAM

HOUSTON

TX NO NO07/01/197378234

45071F CARSWELL AIRFORCE BASE

MEDICAL CENTER

817-782-2500 CARSWELL AFB TX NO NO01/01/198076127

45074F HOUSTON VAMC 713-791-1141 HOUSTON TX YES NO01/01/198077031

450809 NORTH AUSTIN MEDICAL

CENTER

512-832-2999 AUSTIN TX NO YES09/18/1996452364 78758

45081F AUDI MURPHY VAMC HOSPITAL 210-617-7530 SAN ANTONIO TX YES YES01/01/198078285

452500 MIDTOWN KIDNEY CENTER 713-522-2296 HOUSTON TX YES NO08/31/197777004

452501 FMC PD SERVICES OF DALLAS 214-905-5807 DALLAS TX YES NO08/31/197775247

452503 NNA - CENTRAL 512-452-2788 AUSTIN TX YES NO08/31/197778756

452506 DIALYSIS CENTER OF LUBBOCK 806-793-3141 LUBBOCK TX YES NO08/31/197779413

452507 KIDNEY DIS CL OF SAN

ANTONIO

210-614-4152 SAN ANTONIO TX YES NO08/31/197778229

452508 VALLEY HEMODIALYSIS CENTER 956-682-2125 MCALLEN TX YES NO08/31/197778503

452510 NORTH TEXAS DIALYSIS

CENTER

940-322-2145 WICHITA FALLS TX YES NO08/31/197776301


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452511 FMC ABILENE AREA DIALYSIS

CENTER

325-672-2324 ABILENE TX YES NO08/31/197779601

452512 PERMIAN BASIN DIALYSIS

CENTER

432-522-2230 MIDLAND TX YES NO08/31/197779703

452513 AMARILLO HIGH PLAINS

DIALYSIS

806-353-3918 AMARILLO TX YES NO08/31/197779106

452514 COASTAL BEND RENAL

DIALYSIS

361-855-5491 CORPUS CHRISTI TX NO NO08/31/198778404

452517 VALLEY HEMODIALYSIS CENTER 956-546-6373 BROWNSVILLE TX YES NO08/31/197778520

452518 LAREDO KIDNEY CENTER 956-724-4827 LAREDO TX NO NO08/31/197778041

452519 WEST HOUSTON DIALYSIS

CENTER

713-932-2632 HOUSTON TX YES NO09/01/197777055

452520 ISLAND DIALYSIS CENTER 409-740-0110 GALVESTON TX NO NO09/26/197777551

452522 NNA - SAN MARCOS 512-353-3808 SAN MARCOS TX YES NO08/31/197778666

452524 GOLDEN TRIANGLE DIALYSIS

CENTER

409-832-2842 BEAUMONT TX YES NO09/01/197777707

452526 BRAZOS KIDNEY DISEASE

CENTER WACO

254-752-2550 WACO TX YES NO10/27/197776708

452527 SAN ANTONIO KIDNEY

DISEASE CENTER

210-228-8022 SAN ANTONIO TX NO NO02/06/197878212


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452528 NORTH TEXAS RENAL CLINIC,

LLC

940-566-6270 DENTON TX YES NO07/01/197876207

452530 GAMBRO HEALTHCARE SAN

JACINTO

713-450-0499 HOUSTON TX YES NO04/27/197977029

452532 WATSON WISE DIALYSIS

CENTER

903-595-5249 TYLER TX NO NO07/09/197975701

452533 SOUTHEAST KIDNEY CENTER 713-947-7956 HOUSTON TX YES NO06/04/197977017

452537 SOUTH TEXAS KIDNEY CENTER 361-664-4172 ALICE TX NO NO10/29/198078332

452539 CYPRESS CREEK DIALYSIS

CENTER

281-363-3126 THE WOODLANDS TX NO NO11/20/198077380

452540 KIDNEY DISEASE CLINIC

UVALDE

830-278-8112 UVALDE TX NO NO01/16/198178801

452541 FMC EAGLE PASS KIDNEY

DISEASE

830-773-3954 EAGLE PASS TX NO NO03/01/198178852

452542 ROSENBERG DIALYSIS

FACILITY

281-341-1742 ROSENBERG TX NO NO06/05/198177471

452544 SOUTHSIDE KIDNEY DISEASE

CL


452545 KIDNEY DISEASE CLINIC

SEGUIN

830-379-9977 SEGUIN TX NO NO11/20/198178155


KERRVILLE

830-257-7873 KERRVILLE TX YES NO12/01/198178028


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452550 GAMBRO HEALTHCARE BRYAN 979-260-0330 COLLEGE STATION TX YES NO09/27/198277840

452552 TEXARKANA REGIONAL

DIALYSIS CT

903-614-4360 TEXARKANA TX YES NO03/01/198375503

452553 FMC CORSICANA 903-872-2724 CORSICANA TX YES NO04/04/198375110

452554 RCG - DOWNTOWN 713-951-1932 HOUSTON TX YES NO04/11/198377002

452556 CARTHAGE DIALYSIS CENTER 903-693-3451 CARTHAGE TX NO NO08/08/198375633

452557 VAL VERDE RENAL CARE

CENTER

830-774-4303 DEL RIO TX YES NO04/01/198478840

452559 BROWNWOOD RENAL CARE

CENTER

325-646-6951 BROWNWOOD TX YES NO03/15/198576801


SOUTHWEST HOUSTON

713-774-4150 HOUSTON TX YES NO05/21/198577074

452561 IRVING DIALYSIS CENTER 972-871-1828 IRVING TX NO NO03/11/198575061

452563 FT WORTH DIALYSIS

ASSOCIATES-SANDY LANE

817-429-9194 FORT WORTH TX YES NO06/17/198576120

452565 NORTHEAST SAN ANTONIO KID

DIS


452568 SOUTH PLAINS KIDNEY

DISEASE CT

806-795-5099 LUBBOCK TX YES NO10/30/198579416


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452570 SAN ANTONIO DIALYSIS

CENTER


452571 DAVITA - SW SAN ANTONIO 210-923-3456 SAN ANTONIO TX YES NO03/14/198678224

452572 DAVITA - MED- CENTER 713-520-0687 HOUSTON TX YES NO03/21/198677004

452574 NORTH HOUSTON DIALYSIS

CENTER

713-692-2068 HOUSTON TX YES NO04/16/198677093

452575 BMA BAYTOWN 281-422-2379 BAYTOWN TX NO NO04/15/198677521

452576 SOUTHWEST HOUSTON DIA

FACILITY

713-541-1554 HOUSTON TX YES NO05/07/198677071

452577 RCG BEAUMONT 409-838-8660 BEAUMONT TX YES NO06/13/198677707

452579 TARRANT DIALYSIS CENTER FT

WORTH

817-877-7590 FORT WORTH TX NO NO05/09/198676104

452580 TARRANT DIALYSIS CENTER

ARLINGTON

817-275-5778 ARLINGTON TX NO NO06/20/198676011

452582 FMC MEDICAL ARTS KID

CENTER ENNIS

972-875-5846 ENNIS TX NO NO07/16/198675119

452583 DAVITA - BEDFORD 817-282-2887 BEDFORD TX NO NO07/25/198676022


HOUSTON

713-741-1957 HOUSTON TX YES NO07/25/198677021


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452585 WESLACO DIALYSIS CENTER 956-973-3197 WESLACO TX NO NO08/20/198678596

452587 GAMBRO HEALTHCARE SAN

ANTONIO


452588 WHARTON KIDNEY CENTER 979-532-2375 WHARTON TX YES NO10/09/198677488

452592 SOUTH ARLINGTON DIALYSIS

CENTER

817-465-5858 ARLINGTON TX YES NO12/03/198676015

452594 SOUTHWEST FORT WORTH

DIALYSIS CENTER


452595 KIDNEY DISEASE CL CENTRAL

S A


452598 MT PLEASANT DIALYSIS

CENTER

903-572-2175 MOUNT PLEASANT TX NO NO02/01/198775455

452602 NNA - SOUTH 512-707-7760 AUSTIN TX NO NO01/27/198778745

452604 FMC WEST TEXAS DIALYSIS 432-267-7290 BIG SPRING TX YES NO02/17/198879720


SOUTHWEST SA


452606 WEST TEXAS RENAL CARE

CENTER

325-949-9508 SAN ANGELO TX YES NO04/05/198876904

452609 CLEAR LAKE KIDNEY CENTER 281-554-4490 WEBSTER TX NO NO06/26/198877598


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452610 BELLMEAD KIDNEY DISEASE

CENTER

254-867-7197 BELLMEAD TX NO NO08/25/198576705

452611 PALESTINE DIAYSIS CENTER

INC

903-723-3720 PALESTINE TX NO NO09/29/198875801

452612 GAMBRO HEALTHCARE BAY

AREA

281-481-1457 HOUSTON TX NO NO09/13/198877089

452614 GAMBRO HLTHCR HOUSTON

HEIGHTS

713-861-1045 HOUSTON TX NO NO02/23/198977008

452615 KIDNEY TREATMENT CENTER 210-435-5472 SAN ANTONIO TX YES NO06/29/198978237

452616 ROSEDALE KIDNEY DISEASE

CLINIC


452618 AMERI TECH KIDNEY CENTER 817-265-5711 ARLINGTON TX YES NO04/02/199076013

452619 BAY AREA DIA SVC CORPUS 361-888-8754 CORPUS CHRISTI TX YES NO03/01/199078404

452620 BAY AREA DIALYSIS

KINGSVILLE

361-595-5417 KINGSVILLE TX NO NO03/01/199078363

452622 MIDLAND DIALYSIS CENTER 432-687-7120 MIDLAND TX YES NO06/29/199079705

452623 DAVITA - NORTHWEST SAN

ANTONIO


452624 DAVITA - MARSHALL 903-935-5115 MARSHALL TX NO NO09/18/198075670


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452626 NEW BRAUNFELS KIDNEY

DISEASE CLINIC

830-606-6033 NEW BRAUNFELS TX YES NO12/05/199078130

452627 BIOTRONICS KIDNEY CENTER 409-839-9820 BEAUMONT TX YES NO12/18/199077702

452629 METROPLEX KIDNEY DISEASE

CENTER

254-554-4336 KILLEEN TX NO NO04/16/199176541

452630 RCG RIVERSIDE DIALYSIS 361-242-2330 CORPUS CHRISTI TX NO NO05/24/199178410

452631 NORTHWEST KIDNEY DISEASE

CENTER


452633 BAY AREA DIALYSIS SERVICES

SINTON

361-364-4196 SINTON TX NO NO06/24/199178387

452635 GAMBRO HEALTHCARE-

MAINLAND DIALYSIS

409-938-8771 LA MARQUE TX NO NO08/22/199177568

452636 SOUTH TEXAS DIALYSIS

CENTER

956-581-1213 MISSION TX NO NO09/13/199178572

452637 TARRANT DIALYSIS SOUTH FT

WORTH

817-293-3197 BURLESON TX NO NO10/09/199176028

452638 SOUTHEAST KIDNEY DISEASE

CENTER


452639 DAVITA LUFKIN DIALYSIS 936-634-4222 LUFKIN TX YES NO01/23/199275901

452640 FMC - EL PASO GATEWAY 915-599-9289 EL PASO TX YES NO03/06/199279935


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


BRENHAM

979-836-6639 BRENHAM TX YES NO02/26/199277833

452642 NORTHWEST KIDNEY CENTER 713-688-8619 HOUSTON TX YES NO02/26/199277092

452644 CLEBURNE DIALYSIS CENTER 817-558-8159 CLEBURNE TX NO NO04/06/199276031

452645 BAY AREA DIA SVC ARANSAS

PASS

361-758-8002 ARANSAS PASS TX NO NO07/15/199278336

452646 KINGWOOD DIALYSIS 281-359-9443 KINGWOOD TX YES NO09/22/199277339


CHANNELVIEW

281-860-0060 CHANNELVIEW TX NO NO08/12/200377530

452648 LEWISVILLE DIALYSIS CLINIC 972-436-6721 LEWISVILLE TX YES NO12/10/199275057

452651 DAVITA - CENTRAL CITY

DIALYSIS CENTER

915-545-5239 EL PASO TX YES NO02/09/199379902

452654 MCALLEN KIDNEY CENTER 956-687-7670 MCALLEN TX YES NO04/07/199378501

452655 AMERITECH KIDNEY CENTER

HEB

817-545-5204 BEDFORD TX NO NO04/29/199376022

452656 TARRANT DIALYSIS TARRANT

CNTY

817-877-7151 FORT WORTH TX YES NO04/27/199376104

452658 TRC VICTORIA 361-576-6990 VICTORIA TX YES NO09/01/199377901


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452660 HEREFORD DIALYSIS CENTER 806-364-4429 HEREFORD TX NO NO09/30/199379045

452661 DAVITA - LIVINGSTON 936-327-7110 LIVINGSTON TX NO NO11/03/199377351


HUNTSVILLE

936-295-5550 HUNTSVILLE TX YES NO01/26/199477340

452664 USRC RIO GRANDE 956-487-7292 RIO GRANDE CITY TX NO NO11/16/199378582

452665 DAVITA - DENISON DIALYSIS

CENTER

903-465-5411 DENISON TX YES NO12/08/199375020

452666 FMC - RIO GRANDE CITY 956-487-7636 RIO GRANDE CITY TX NO NO02/04/199478582

452667 DAVITA OMNI DIALYSIS

CENTER

713-665-5474 HOUSTON TX YES NO01/14/199477054

452668 WEST KIDNEY DISEASE

CENTER


452669 LIBERTY DAYTON DIALYSIS FAC 936-336-6720 LIBERTY TX NO NO03/16/199477575

452671 NORTHWEST HOUSTON

DIALYSIS CENTER

281-894-4791 HOUSTON TX NO NO05/17/199477065

452672 RENAL CARE GROUP- WESLACO 956-968-8189 WESLACO TX NO NO06/14/199478596

452673 TRI CITY DIALYSIS CLINIC 830-769-9412 JOURDANTON TX NO NO08/03/199478026


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452674 FMC - EL PASO CLIFF VIEW 915-532-2641 EL PASO TX YES NO08/23/199479902

452675 NORTH STAR DIALYSIS CENTER 281-448-8450 HOUSTON TX YES NO09/12/199477076

452676 DAVITA - LONESTAR DIALYSIS 713-378-8609 HOUSTON TX NO NO09/28/199477061

452677 GAMBRO HLTHCRE CENTRAL

HOUSTON

713-924-4597 HOUSTON TX NO NO11/03/199477011

452678 DAVITA - NORTH HOUSTON

DIALYSIS

713-692-2948 HOUSTON TX YES NO09/02/199477076

452679 BMA OF DALLAS SOUTH 214-942-2290 DALLAS TX NO NO09/07/199475208

452682 FARMERS BRANCH DIALYSIS 972-488-8119 FARMERS BRANCH TX NO NO09/13/199475234

452684 BMA OF DALLAS CENTRAL 214-381-1949 DALLAS TX NO NO09/07/199475227

452685 METRO EAST DIALYSIS CENTER 972-288-8106 MESQUITE TX NO NO09/27/199475149

452686 COLLIN COUNTY DIALYSIS 972-423-3144 PLANO TX NO NO10/17/199475074

452687 SOUTH OAK CLIFF DIALYSIS

CENTER

214-943-3706 DALLAS TX NO NO10/11/199475224

452688 FMC - VILLAGE II DIALYSIS 214-388-8869 DALLAS TX NO NO10/31/199475228


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452689 TRINITY DIALYSIS CENTER 817-338-8130 FORT WORTH TX YES NO10/18/199476104

452690 TOWN GATE DIALYSIS CENTER 972-278-8201 GARLAND TX NO NO11/14/199475041

452692 RENAL CARE GROUP ALICE 361-668-8805 ALICE TX NO NO12/06/199478332

452693 SWISS AVE DIALYSIS CENTER 214-827-7985 DALLAS TX NO NO12/02/199475204

452694 NORTH EAST TEXAS DIALYSIS

CENTER

903-454-4989 GREENVILLE TX NO NO12/30/199475401

452696 DAVITA - AUSTIN WATERLOO

DIALYSIS

512-420-0940 AUSTIN TX NO NO01/01/199578756

452697 FMC OF SOUTH DALLAS

COUNTY

214-371-1248 DALLAS TX NO NO01/04/199575224

452699 REDBIRD DIALYSIS CENTER 972-709-9021 DALLAS TX NO NO01/03/199575237

452700 BMA OF EAST DALLAS 214-827-7784 DALLAS TX NO NO01/04/199575204

452702 WALNUT HILL DIALYSIS

CENTER

469-232-2533 DALLAS TX NO NO12/21/199375231

452703 ELMBROOK KIDNEY CENTER 214-638-8661 DALLAS TX YES NO01/13/199575247

452705 GAMBRO HEALTHCARE UKC 713-794-4060 HOUSTON TX YES NO03/31/199577054


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452706 GAMBRO HEALTHCARE - NORTH

LOOP EAST

713-675-5849 HOUSTON TX YES NO03/30/199577028

452707 CIELO VISTA DIALYSIS 915-771-1689 EL PASO TX YES NO03/31/199579915

452708 TRC CONROE 936-756-6327 CONROE TX NO NO05/09/199577304

452709 WESTMINSTER DIALYSIS 281-493-3904 HOUSTON TX NO NO05/10/199577077

452710 NORTHEAST TEXAS DIALYSIS

CENTER

903-796-6331 ATLANTA TX NO NO05/01/199575551

452711 NNA - NORTH 512-901-1404 AUSTIN TX YES NO07/19/199578758

452712 BRAZORIA KIDNEY CENTER 979-299-9193 LAKE JACKSON TX NO NO07/19/199577566

452714 MISSION KIDNEY CENTER 956-519-9299 MISSION TX NO NO08/16/199578572

452715 DIALYSIS SPEC OF SOUTH

TEXAS

361-855-5946 CORPUS CHRISTI TX YES NO08/17/199578411

452718 CROWN OF TEXAS KIDNEY

CENTER

806-351-1199 AMARILLO TX NO NO09/12/199579119

452719 WEATHERFORD DIALYSIS

CENTER

817-613-3900 WEATHERFORD TX NO NO10/05/199576086

452720 DAVITA WEST 915-577-7939 EL PASO TX YES NO09/11/199579902


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452722 GUADALUPE KIDNEY DISEASE

CL



WEATHERFORD

817-599-9957 WEATHERFORD TX NO NO08/14/199576086

452727 EL MILAGRO DIALYSIS CENTER 512-448-8975 AUSTIN TX YES NO11/21/199578704

452728 SPRING BRANCH DIALYSIS 713-932-2779 HOUSTON TX YES NO01/09/199677055

452729 PERMIAN BASIN DIALYSIS 432-580-0486 ODESSA TX YES NO03/06/199679761

452731 DAVITA-CLEVELAND DIALYSIS

CENTER

281-593-3328 CLEVELAND TX NO NO04/16/199677327

452732 FMC-SOUTH LAREDO 956-729-9741 LAREDO TX YES NO05/01/199678040


FLORESVILLE

830-393-3401 FLORESVILLE TX NO NO04/26/199678114

452734 DAVITA-GONZALES 830-672-2437 GONZALES TX NO NO05/03/199678629

452735 BAY AREA DIALYSIS SVC

SOUTHSIDE

361-814-4016 CORPUS CHRISTI TX YES NO04/24/199678411

452736 UT SOUTHWESTERN GAMBRO

CT

214-630-0418 DALLAS TX YES NO06/10/199675247

452737 BROWNSVILLE KIDNEY CENTER 956-542-2809 BROWNSVILLE TX YES NO04/15/199678520


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452738 FMC EAST CENTRAL HOUSTON 713-926-6339 HOUSTON TX NO NO06/13/199677011

452739 NORTH BUCKNER DIALYSIS

CENTER

214-367-7888 DALLAS TX YES NO07/18/199675228


PEARSALL

830-334-4469 PEARSALL TX NO NO07/18/199678061

452741 DAVITA - LOMA VISTA

DIALYSIS

915-591-1083 EL PASO TX YES NO07/31/199679935

452742 BEEVILLE DIALYSIS CENTER 361-358-8417 BEEVILLE TX NO NO09/05/199678102

452743 TOMBALL DIALYSIS CENTER 281-351-1680 TOMBALL TX NO NO09/11/199677375

452744 DAVITA - LONGVIEW 903-234-4145 LONGVIEW TX YES NO09/18/199675601

452745 BAYSHORE DIALYSIS CENTER 281-487-7294 PASADENA TX NO NO10/02/199677504

452747 DAVITA - SOUTH SAN ANTONIO 210-932-2243 SAN ANTONIO TX YES NO11/14/199678214

452748 WATSON W WISE DIALYSIS

PARIS

903-784-4198 PARIS TX YES NO10/15/199675460

452749 EL PASO KIDNEY CENTER EAST 915-590-0833 EL PASO TX YES NO11/06/199679935

452750 MEDICAL CENTER KIDNEY

CLINIC

713-797-7990 HOUSTON TX YES NO02/12/199777030


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452751 DIALYSIS SPEC OF SOUTH

TRANSPLANT RIVERSIDE


452752 NORTHEAST FT WORTH

DIALYSIS CT

817-581-1151 HALTOM CITY TX NO NO04/16/199776117

452753 FALLS COUNTY KIDNEY CENTER 254-883-3369 MARLIN TX NO NO03/05/199776661

452754 TEXAS CITY DIALYSIS LLP 409-948-8930 TEXAS CITY TX NO NO01/08/199777590

452755 DAVITA - MEMORIAL DIALYSIS

CENTER

281-558-8570 HOUSTON TX YES NO04/24/199777079

452756 FMC - FLORESVILLE KIDNEY

DIS CENTER

830-216-6449 FLORESVILLE TX NO NO05/28/199778114

452757 SANDCASTLE DIALYSIS LLC 409-933-3040 TEXAS CITY TX YES NO06/05/199777591

452758 DAVITA MESA VISTA DIALYSIS 915-532-2559 EL PASO TX YES NO03/25/199779902

452760 PAMPA DIALYSIS CENTER 806-665-5820 PAMPA TX NO NO06/25/199779065

452761 KATY DIALYSIS CENTER 281-392-2606 KATY TX YES NO07/03/199777450

452762 CYFAIR DIALYSIS CENTER 281-517-7052 HOUSTON TX NO NO07/03/199777065

452763 SOUTHEAST TEXAS KIDNEY

CENTER

409-983-3411 PORT ARTHUR TX YES NO07/17/199777642


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452764 FMC - EDINBURG DIALYSIS 956-287-7981 EDINBURG TX NO NO07/30/199778539

452765 MEDINA COUNTY DIALYSIS

FACILITY

830-426-6384 HONDO TX NO NO08/08/199778861

452766 MATAGORDA RENAL DIALYSIS

CENTER

979-245-5009 BAY CITY TX NO NO09/16/199777414

452767 EDINBURG KIDNEY CENTER 956-668-8120 EDINBURG TX NO NO10/01/199778539

452768 RENAL CARE GROUP CROCKETT 936-546-6228 CROCKETT TX NO NO10/21/199775835

452769 HILL COUNTRY DIALYSIS

CENTER OF SAN MARCOS

512-396-6422 SAN MARCOS TX NO NO10/27/199778666

452771 DIALYSIS SPECIALIST

CHILDRESS

940-937-7709 CHILDRESS TX NO NO11/13/199779201

452772 ALVIN DIALYSIS CENTER 281-388-8070 ALVIN TX NO NO02/06/199877511

452773 UT SW GAMBRO HC OAK CLIFF 214-941-1780 DALLAS TX NO NO02/04/199875224

452774 DAVITA - SHERMAN 903-868-8222 SHERMAN TX NO NO10/29/199775092

452775 GAMBRO HC FREDERICKSBURG 830-997-7313 FREDERICKSBURG TX NO NO04/20/199878624

452776 FOURTH STREET DIALYSIS 903-234-4011 LONGVIEW TX YES NO07/01/200175605


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452777 FMC - ALAMO CITY DIALYSIS 210-527-7130 SAN ANTONIO TX NO NO05/06/199878215

452778 FT BEND DIALYSIS CENTER 281-403-3074 MISSOURI CITY TX NO NO06/10/199877459

452779 NNA - ROUNDROCK 512-671-1801 ROUND ROCK TX YES NO06/22/199878664

452780 HOUSTON KIDNEY CENTER

SOUTHWEST

281-530-0190 HOUSTON TX NO NO07/01/199877099

452781 FMC - VILLAGE OAKS KIDNEY

DISEASE CLINC

210-655-5400 LIVE OAK TX NO NO07/17/199878233

452782 FMC CARIZZO SPRINGS

KIDNEY DISEASE CLINIC

830-876-6393 CARRIZO SPRINGS TX NO NO08/12/199878834

452783 MONCRIEF DIALYSIS CENTER 512-485-5787 AUSTIN TX YES NO08/26/199878705

452784 TRC HOUSTON KIDNEY CENTER

CYPRESS

281-880-0882 HOUSTON TX YES NO10/07/199877090

452785 WEST TYLER DIALYSIS 903-526-6428 TYLER TX NO NO10/18/199875702

452786 MISSOURI CITY DIALYSIS 281-437-7970 MISSOURI CITY TX NO NO11/05/199877459

452787 SPRING DIALYSIS, INC. 281-880-0706 HOUSTON TX YES NO10/07/199877090

452788 CAPITAL DIALYSIS OF TEXAS 512-392-2919 SAN MARCOS TX NO NO12/10/199878666


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452789 CAPITAL DIALYSIS OF TEXAS

LTD, MANOR

512-927-7030 AUSTIN TX NO NO01/15/199978723

452790 CAPITAL DIALYSIS OF

TRANSPLANT METRIC

512-977-7030 AUSTIN TX YES NO01/22/199978758

452791 DCI DIALYSIS CARE

SERVICES,INC

936-569-9990 NACOGDOCHES TX YES NO01/28/199975965

452792 LUBBOCK DIALYSIS

CENTER-REDBUD

806-785-5628 LUBBOCK TX YES NO02/04/199979416


TERRELL

972-524-4999 TERRELL TX NO NO01/27/199975160

452794 TERRELL DIALYSIS CENTER 972-524-4284 TERRELL TX NO NO02/17/199975160

452796 LOCKEHILL KIDNEY DISEASE

CLINIC


452797 CAPITAL

DIALYSIS,TRANSPLANT-SOUTH

WOOD

512-383-3030 AUSTIN TX NO NO03/17/199978704

452798 NEW BRAUNFELS KIDNEY

DISEASE CENTER

830-620-0465 NEW BRAUNFELS TX NO NO03/17/199978130

452799 TARRANT DIALYSIS

CENTER-CENTRAL


452800 DIALYSIS

SPEC.S.TEXAS-CENTRAL


452801 QUALITY DIALYSIS TWO, INC 281-491-1400 STAFFORD TX YES NO08/04/199977477


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452802 RCG ORANGE 409-883-3400 ORANGE TX YES NO08/20/199977630

452803 HENDERSON DIALYSIS CENTER 903-655-5692 HENDERSON TX NO NO08/16/199975652

452804 KIDNEY TREATMENT CENTER

EAST


452805 FMC GRANBURY 817-279-9950 GRANBURY TX NO NO09/15/199976048

452806 TEMPLE KIDNEY CENTER 254-742-2116 TEMPLE TX NO NO02/23/200076504

452808 BIOTRONICS KIDNEY CENTER

OF ORANGE

409-886-6771 ORANGE TX NO NO03/22/200077630

452809 EL PASO KIDNEY CENTER -

WEST

915-532-2700 EL PASO TX NO NO03/30/200079902

452811 NORTH CENTRAL KIDNEY

DISEASE CENTER


452812 RENAL CARE GROUP, ATHENS 903-677-7847 ATHENS TX NO NO06/21/200075751

452813 FMC DIALYSIS SERVICES VISTA

DEL SOL

915-592-2849 EL PASO TX YES NO06/06/200079925


MCKINNEY

972-562-2063 MCKINNEY TX NO NO06/29/200075069

452816 BROADWAY KIDNEY DISEASE

CENTER



Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452817 USRC HARLINGEN 956-365-5410 HARLINGEN TX YES NO09/21/200078550

452818 RENAL CENTER OF ATHENS, LP

LLLP

903-677-7335 ATHENS TX YES NO10/04/200075751

452819 TEXAS RENAL VENTURES 817-870-0500 FORT WORTH TX YES NO09/28/200076107

452820 MCALLEN DIALYSIS LTD 956-668-8848 MCALLEN TX NO NO09/12/200078503

452821 KIRBY KIDNEY DISEASE

CENTER

210-661-1020 KIRBY TX NO NO10/16/200078219

452822 GAMBRO HEALTHCARE-DALLAS

EAST

214-660-0184 DALLAS TX NO NO11/08/200075228

452823 LAREDO DIALYSIS, LTD 956-725-5120 LAREDO TX NO NO02/21/200178041

452824 NORTH TEXAS DIALYSIS

SERVICES, LLC

940-612-2555 GAINESVILLE TX NO NO02/27/200176240

452825 NNA - BASTROP 512-581-1999 BASTROP TX YES NO03/15/200178602


WAXAHACHIE

972-938-8221 WAXAHACHIE TX NO NO03/23/200175165

452827 NNA - MARBLE FALLS 830-798-8957 MARBLE FALLS TX YES NO03/22/200178654


SOUTHWESTERN

214-366-6297 DALLAS TX NO NO05/03/200175235


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452829 KIDNEY TREATMENT CENTER

NORTHWEST PA


452830 KIDNEY CENTER OF JASPER 409-384-4420 JASPER TX NO NO08/03/200175951


WACO WEST

254-772-2771 WACO TX YES NO08/23/200176712


GRAPEVINE

817-329-9186 SOUTHLAKE TX NO NO08/16/200176092

452833 GAMBRO HEALTHCARE - KATY 281-392-2161 KATY TX YES NO08/28/200177450

452834 INNOVATIVE RENAL CARE -

WEBSTER, INC.

713-571-1667 HOUSTON TX YES NO08/31/200177003

452835 BEAUMONT KIDNEY CENTER 409-840-0202 BEAUMONT TX YES NO10/24/200177707

452836 RCG HARLINGEN 956-412-2109 HARLINGEN TX YES NO11/02/200178552


DEER PARK

281-542-2685 DEER PARK TX NO NO11/29/200177536

452838 TARRANT DIALYSIS CENTER,

NORTH FORT WORTH


452839 SHANNON DIALYSIS SERVICES 325-659-9736 SAN ANGELO TX YES NO01/17/200276905

452840 EUMANA DIALYSIS CENTER 713-668-8274 HOUSTON TX YES NO02/11/200277054


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452841 RCG - CENTER DIALYSIS 936-598-8735 CENTER TX YES NO03/08/200275935

452842 CHILDRENS DIALYSIS CLINIC

OF CENTRAL TEXAS

512-477-7011 AUSTIN TX YES NO03/11/200278701


DICKINSON

281-534-4267 DICKINSON TX NO NO04/25/200277538

452845 TRC PEARLAND DIALYSIS 281-412-2742 PEARLAND TX NO NO06/06/200277581


NORTH BROWNSVILLE

956-504-4504 BROWNSVILLE TX YES NO06/07/200278521

452847 TOTAL RENAL CARE- PIN OAK

DIALYSIS

281-392-2444 KATY TX NO NO08/21/200277494


PLAINVIEW

806-296-6666 PLAINVIEW TX YES NO09/04/200279072

452849 RCG MINEOLA DIALYSIS 903-569-9925 MINEOLA TX NO NO09/30/200275773


PEARLAND

281-993-3072 PEARLAND TX NO NO10/15/200277581

452851 GATEWAY DIALYSIS FACILITY 210-673-3920 SAN ANTONIO TX YES NO10/16/200278227

452852 RCG HOUSTON NORTHWEST 713-686-6382 HOUSTON TX YES NO12/05/200277092


WEST LAREDO

956-791-1810 LAREDO TX NO NO10/15/200278046


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


ROBSTOWN

361-767-7040 ROBSTOWN TX NO NO02/27/200378380

452855 TARRANT DIALYSIS CENTER -

GRAND PRAIRIE

972-263-3720 GRAND PRAIRIE TX NO NO01/10/200375050


NEDERLAND

409-729-9221 PORT ARTHUR TX NO NO01/15/200377642

452857 HOME KIDNEY CARE 972-566-6780 DALLAS TX YES NO03/31/200375230

452858 MISSION HILLS DIALYSIS 915-351-1072 EL PASO TX YES NO04/08/200379902

452859 JACKSONVILLE DIALYSIS

CENTER

903-589-9382 JACKSONVILLE TX NO NO04/16/200375766

452860 SOUTHEAST HOUSTON

DIALYSIS CENTER

713-842-2101 HOUSTON TX YES NO04/16/200377021


ABILENE SOUTH

325-793-3259 ABILENE TX NO NO05/01/200379606

452862 FMC MEYERLAND 713-283-3948 HOUSTON TX YES NO05/09/200377035

452863 GRAND PRAIRIE DIALYSIS

CENTER INC

972-237-7240 GRAND PRAIRIE TX NO NO05/27/200375051


SOUTHWEST SAN ANTONIO



INGRAM



Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452866 AMARILLO KIDNEY

SPECIALISTS, LLC

806-358-8005 AMARILLO TX YES NO07/22/200379121

452867 RENAL CENTER OF TYLER 903-596-6010 TYLER TX YES NO08/11/200375702

452868 BROOKHOLLOW DIALYSIS 713-681-1304 HOUSTON TX YES NO08/21/200377092

452869 SUGAR LAND DIALYSIS 281-240-0509 SUGAR LAND TX NO NO10/16/200377478

452870 USRC MID VALLEY WESLACO 956-968-8580 WESLACO TX YES NO11/13/200378596

452872 USRC VALLEY MCALLEN 956-994-4337 MCALLEN TX YES NO11/06/200378503

452873 ODESSA KIDNEY DIALYSIS

CENTER

432-550-0601 ODESSA TX NO NO01/07/200479762

452875 DAVITA PHYSICIANS DIALYSIS

NORTH HOUSTON

713-675-5479 HOUSTON TX NO NO01/12/200477028

452876 ACRES HOME DIALYSIS

CENTER LLC

713-490-0738 HOUSTON TX YES NO01/30/200477091

452877 RENAL SOLUTIONS DIALYSIS

SERVICES

713-680-0905 HOUSTON TX YES NO03/12/200477018

452879 CASTROVILLE KIDNEY DISEASE

CENTER

830-538-8646 CASTROVILLE TX NO NO03/16/200478009

452880 BEECHNUT DIALYSIS CENTER 713-772-2522 HOUSTON TX YES NO03/25/200477036


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452881 CARR DIALYSIS CENTER LTD 512-275-5010 ROUND ROCK TX NO NO04/08/200478681

452882 RENAL CARE GROUP TYLER

HOME DIALYSIS

903-581-1870 TYLER TX YES NO04/19/200475703

452883 RENAL CARE

GROUP-SOUTHEAST TYLER

903-581-1525 TYLER TX NO NO04/23/200475703

452884 DALLAS NORTH DIALYSIS

CENTER

972-918-8010 DALLAS TX YES NO06/17/200475243

452885 TRC KILGORE DIALYSIS

CENTER

903-988-8820 KILGORE TX NO NO06/08/200475662

452886 DAVITA PHYSICIANS DIALYSIS

SOUTH HOUSTON

713-641-1613 HOUSTON TX YES NO07/02/200477033


CARROLLTON

972-306-6841 CARROLLTON TX NO NO08/03/200475007

452888 CUERO KIDNEY DIALYSIS

CENTER

361-275-5525 CUERO TX NO NO07/19/200477954

452889 CUERO LAKEVIEW KIDNEY

CENTER LLC

361-275-5864 CUERO TX YES NO07/20/200477954

452890 USRC EDINBURG 956-383-3848 EDINBURG TX YES NO08/20/200478539

452891 RENAL CARE GROUP- GILMER 903-680-0230 GILMER TX NO NO08/23/200475644

452892 SOUTH AUSTIN DIALYSIS LLC 512-447-7850 AUSTIN TX NO NO10/14/200478745


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

452893 PINECREST DIALYSIS CENTER 903-934-4966 MARSHALL TX NO NO09/27/200475670

452894 OAK CLIFF DIALYSIS 214-943-3001 DALLAS TX NO NO10/11/200475224

452895 BANDERA ROAD DIALYSIS

FACILITY


452896 TARRANT DIALYSIS CENTER

MANSFIELD

682-518-8012 MANSFIELD TX NO NO10/15/200476063

452897 GILMER DIALYSIS 903-843-3988 GILMER TX NO NO10/25/200475644

452898 RIVER PARK DIALYSIS 936-760-0333 CONROE TX YES NO10/20/200477304

452899 DOWNTOWN HOUSTON

DIALYSIS CENTER

713-655-5090 HOUSTON TX NO NO11/15/200477002

453300 COOK CHILDRENS MEDICAL

CENTER DIALYSIS UNIT

682-885-5394 FORT WORTH TX YES YES02/15/1991452358 76104

453300 COOK CHILDRENS MEDICAL

CENTER TRANSPLANT

SERVICES

682-885-5287 FORT WORTH TX YES YES02/15/1991452358 76104

453301 DRISCOLL CHILDREN'S

HOSPITAL DIALYSIS UNIT

361-694-4680 CORPUS CHRISTI TX YES NO04/08/2005452380 78466

453302 CHILDRENS MEDICAL CENTER

TRANSPLANT SERVICES

214-456-6278 DALLAS TX NO YES06/27/1983452344 75235

453304 TEXAS CHILDRENS HOSPITAL

DIALYSIS UNIT



Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

453304 TEXAS CHILDRENS HOSPITAL

TRANSPLANT SERVICES

832-826-6082 HOUSTON TX NO YES02/02/1987452333 77030

453305 CHRISTUS CHILDRENS KIDNEY

CENTER

210-704-4370 SAN ANTONIO TX YES NO08/07/2002452372 78207

453500 UNIVERSITY DIALYSIS WEST 210-358-8730 SAN ANTONIO TX YES NO05/17/199478207

453501 SCOTT & WHITE KILLEEN

DIALYSIS UNIT

254-680-0137 KILLEEN TX NO NO09/01/200076541

453502 SCOTT & WHITE ARTIFICAL

KIDNEY UNIT

254-724-4202 TEMPLE TX YES NO09/01/200076508

453503 SCOTT & WHITE ROUND ROCK

DIALYSIS

512-238-8290 ROUND ROCK TX NO NO09/01/200078664

453504 UNIVERSITY DIALYSIS

SOUTHEAST


453505 RAYMONDVILLE DIALYSIS

CENTER

956-689-9908 RAYMONDVILLE TX YES NO09/13/200278580

453508 DIALYSIS SERVICES OF WEST

TEXAS

806-592-2209 DENVER CITY TX NO NO08/19/2004452377 79323

672500 LAKE JACKSON DIALYSIS AND

KIDNEY CENTER

979-299-9656 LAKE JACKSON TX NO NO11/18/200477566

672501 TRANSMOUNTAIN DIALYSIS 915-751-1540 EL PASO TX YES NO01/04/200579924

672502 MISSION DIALYSIS LTD 956-581-1848 MISSION TX NO NO01/14/200578572


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

672503 JACINTO DIALYSIS CENTER 713-453-3050 JACINTO CITY TX NO NO12/13/200477029

672504 GAMBRO HEALTHCARE ROCK

PRAIRIE ROAD

979-764-4650 COLLEGE STATION TX NO NO12/07/200477845

672505 FMC OF FOREST PARK 214-351-1283 DALLAS TX NO NO01/21/200575235

672506 HOUSTON STREET DIALYSIS

FACILITY


672507 TRI COUNTY DIALYSIS

FACILITY

830-772-2578 LYTLE TX NO NO02/18/200578052

672508 SUN CITY DIALYSIS CENTER 915-351-1201 EL PASO TX YES NO02/28/200579902

672509 FMC OF CROSBY 281-328-8807 CROSBY TX NO NO06/03/200577532

672510 PLEASANTON ROAD DIALYSIS

FACILITY


672511 MERIDIAN DIALYSIS CENTER 281-471-1017 LA PORTE TX NO NO05/19/200577571

672512 PREMIER STATEWIDE DIALYSIS

CENTER

972-709-9195 DUNCANVILLE TX YES NO07/01/200575116

672513 BONHAM DIALYSIS 903-583-3470 BONHAM TX NO NO08/24/200575418

672514 USRC SAN BENITO DIALYSIS 956-399-9403 SAN BENITO TX NO NO08/24/200578586


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

672515 NORTHWEST MEDICAL CENTER

DIALYSIS


672516 RIVERCENTER DIALYSIS 210-270-0788 SAN ANTONIO TX NO NO08/18/200578215

672517 TARRANT COUNTY CAMPUS

DIALYSIS


672518 NORTH SHEPHERD KIDNEY

CLINIC

713-697-7111 HOUSTON TX NO NO08/30/200577091

672519 SOUTHCROSS DIALYSIS

CENTER


672520 LANCASTER DIALYSIS 972-223-3929 LANCASTER TX NO NO09/12/200575146

672521 LAS PALMAS DIALYSIS CENTER 210-438-8929 SAN ANTONIO TX NO NO10/06/200578237


CENTER

281-554-4605 LEAGUE CITY TX YES NO10/05/200577573

672523 MARYMOUNT DIALYSIS CENTER 210-646-6878 SAN ANTONIO TX NO NO10/13/200578217

672524 ANGLETON KIDNEY CENTER 979-864-4433 ANGLETON TX NO NO10/28/200577515

672525 ARLINGTON DIALYSIS 817-469-9610 ARLINGTON TX YES NO10/31/200576010

672526 LANCASTER DIALYSIS LLC 972-230-0777 LANCASTER TX NO NO10/24/200575146


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

672527 BARLITE SOUTHWEST KIDNEY

CENTER



MIDLAND-ODESSA

432-366-6394 ODESSA TX NO NO11/21/200579762

672529 WT. MT. HOUSTON DIALYSIS

CENTER

281-820-0488 HOUSTON TX NO NO11/22/200577038

672530 FMC HILLSBORO KIDNEY

CENTER

254-582-2557 HILLSBORO TX NO NO11/28/200576645

672531 GRAPEVINE DIALYSIS 817-424-4409 GRAPEVINE TX NO NO11/15/200576051

672532 SAN SABA DOWNTOWN KIDNEY

CENTER


672533 HILLSBORO DIALYSIS 254-582-2529 HILLSBORO TX NO NO12/05/200576645

672534 MAVERICK COUNTY DIALYSIS

FACILITY

830-773-3887 EAGLE PASS TX NO NO01/20/200678852

672535 BAYOU CITY DIALYSIS 713-695-5898 HOUSTON TX NO NO01/11/200677093

460009 UNIVERSITY OF UTAH

TRANSPLANT

801-581-1263 SALT LAKE CITY UT NO YES08/25/197784132

460010 LDS HOSPITAL/RENAL

TRANSPLANTS

801-408-8309 SALT LAKE CITY UT NO YES11/04/1983462302 84143

460014 TOOELE VALLEY DIALYSIS

CENTER

801-408-8143 TOOELE UT NO NO04/25/1990462308 84074


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

460015 BRIDGERLAND DIALYSIS

FACILITY

435-716-6531 NORTH LOGAN UT NO NO02/02/1981462307 84341

46002F V.A. MEDICAL

CENTER/DIALYSIS

801-584-4127 SALT LAKE CITY UT YES NO05/27/1983462301 84148

462500 FARMINGTON BAY DIALYSIS

CENTER

801-593-3911 LAYTON UT NO NO07/07/200584041

462503 KOLFF DIALYSIS CENTER/UNIV.

OF UTAH

801-581-1398 SALT LAKE CITY UT YES NO09/02/197684112

462504 UNIVERSITY OF UTAH PROVO

DIALYSIS CENTER

801-373-3016 PROVO UT YES NO03/25/197784604

462506 UINTAH BASIN DIALYSIS

CENTER

435-722-2505 ROOSEVELT UT NO NO05/01/198084066

462510 CASTLEVIEW DIALYSIS 435-637-7869 PRICE UT NO NO11/30/198484501

462511 DIXIE DIALYSIS CENTER 435-656-6085 SAINT GEORGE UT YES NO08/29/199784790

462518 SOUTH VALLEY DIALYSIS

CENTER

801-233-3874 SANDY UT YES NO10/15/198184070

462519 BONNEVILLE DIALYSIS CENTER 801-479-9035 OGDEN UT YES NO12/15/198384405

462520 DAVITA - WEST BOUNTIFUL

DIALYSIS

801-296-6909 W BOUNTIFUL UT YES NO04/30/199884087

462521 LAKESIDE DIALYSIS CENTER 801-299-9347 BOUNTIFUL UT NO NO12/22/199784010


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

462524 DAVITA - TIMPANOGOS

DIALYSIS CENTER

801-356-6890 PROVO UT YES NO03/03/199984604

462525 DAVITA - UTAH VALLEY

REGIONAL DIALYSIS

801-818-8250 PROVO UT NO NO10/11/1999460001 84604

462527 MOUNTAIN VIEW DIALYSIS

CENTER

435-781-1233 VERNAL UT NO NO10/24/200184078

462528 IRON MISSION DIALYSIS

CENTER

435-867-7817 CEDAR CITY UT NO NO04/16/200284720

462529 OQUIRRH ARTIFICIAL KIDNEY

CENTER

801-417-7990 TAYLORSVILLE UT NO NO06/17/200284118

462530 WASATCH ARTIFICIAL KIDNEY

CENTER


462532 SOUTH MOUNTAIN DIALYSIS 801-253-3969 SOUTH JORDAN UT NO NO11/24/200484095

463501 CENTRAL VALLEY DIALYSIS

CENTER


463502 UTAH DIALYSIS LAB 801-408-8140 SALT LAKE CITY UT YES NO01/23/198084101

463504 SEVIER VALLEY DIALYSIS 435-893-3035 RICHFIELD UT NO NO01/01/200584701

490007 SENTARA NORFOLK GENERAL

HOSPITAL

757-668-8364 NORFOLK VA NO NO08/01/197723507

490007 SENTARA NORFOLK GEN

HOSPITAL - TRANSPLANT PROG

757-388-8390 NORFOLK VA NO YES07/01/198823507


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

490009 UNIVERSITY OF VIRGINIA

HOSPITAL

434-924-4559 CHARLOTTESVILLE VA YES YES09/01/197722908

490009 UNIVERSITY OF VIRGINIA

HOSPITAL - TRANPLANT PROG

434-924-4860 CHARLOTTESVILLE VA NO YES09/01/197722908

490032 VCU MEDICAL CENTER 804-828-8922 RICHMOND VA NO YES08/01/197723298

490032 MEDICAL COLLEGE OF VA -

TRANSPLANT PROG

804-828-8410 RICHMOND VA NO YES08/01/197723298

490052 RIVERSIDE REGIONAL MEDICAL

CENTER

757-594-4261 NEWPORT NEWS VA YES NO08/01/197723601

490063 FAIRFAX HOSPITAL - INOVA

TRANSPLANT CENTER

703-970-0320 FAIRFAX VA NO YES03/01/199222031

490067 SOUTHSIDE REGIONAL

MEDICAL CENTER

804-862-2526 PETERSBURG VA YES NO08/01/197723803

49006F VA HOSPITAL - HAMPTON 757-722-2996 HAMPTON VA YES NO05/01/199023667

49008F NAVAL MEDICAL CENTER -

PORTSMOUTH

757-953-3206 PORTSMOUTH VA YES NO01/01/198023708

490098 COMMUNITY MEMORIAL

HEALTHCENTER

434-447-7315 SOUTH HILL VA NO NO01/25/198923970

49010F VA HOSPITAL - RICHMOND 804-675-5559 RICHMOND VA YES NO09/01/197723249

490118 HENRICO DOCTORS HOSPITAL

- TRANSPLANT

804-289-9494 RICHMOND VA NO YES04/01/199023229


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

49011F VA HOSPITAL - SALEM 540-983-3100 SALEM VA YES NO01/01/198024153


DANVILLE

434-792-2143 DANVILLE VA YES NO09/01/197724543

492502 TIDEWATER RENAL DIALYSIS

CENTER

757-533-3565 NORFOLK VA NO NO08/01/197723509

492503 BMA - WEST END 804-288-8505 RICHMOND VA YES NO09/01/197723229

492504 FAIRFAX DIALYSIS CENTER 703-698-8807 FAIRFAX VA YES NO09/01/197722031

492505 ALEXANDRIA KIDNEY CENTER 703-370-0825 ALEXANDRIA VA YES NO11/01/198022304

492506 DABNEY DIALYSIS 804-358-8277 RICHMOND VA NO NO08/01/197723230

492507 DAVITA - HARRISONBURG

DIALYSIS

540-434-4103 HARRISONBURG VA YES NO05/01/197822801

492508 FREDERICKSBURG DIALYSIS

CENTER

540-371-1953 FREDERICKSBURG VA YES NO08/01/197722401

492513 BMA - ROANOKE 540-989-9337 ROANOKE VA NO NO10/01/197724018

492516 RENAL CARE GROUP - SOUTH

BOSTON

434-572-2394 SOUTH BOSTON VA NO NO07/01/197924592

492517 VIRGINIA BEACH DIALYSIS

CENTER

757-481-1687 VIRGINIA BEACH VA YES NO08/01/197923454


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

492521 CDC - WOODBRIDGE 703-897-7702 WOODBRIDGE VA YES NO08/01/198022192

492522 COVINGTON DIALYSIS 540-862-2441 COVINGTON VA YES NO07/01/198024426

492523 WINCHESTER DIALYSIS 540-667-7022 WINCHESTER VA YES NO07/01/198022601

492524 BMA - NASSAWADOX 757-442-2496 NASSAWADOX VA YES NO07/01/198023413

492525 FMC - WARRENTON 540-341-1754 WARRENTON VA YES NO08/01/198020186

492526 BMA - FARMVILLE 434-392-2884 FARMVILLE VA YES NO09/01/198023901


MARTINSVILLE

276-632-2709 MARTINSVILLE VA NO NO01/01/198224112

492528 DAVITA - STAUNTON 540-885-5890 STAUNTON VA YES NO08/01/198224401

492529 BMA - TWIN COUNTY 276-236-6601 GALAX VA YES NO10/01/198224333

492530 ARTIFICIAL KIDNEY CENTER -

SUFFOLK

757-934-4000 SUFFOLK VA YES NO01/01/198323434

492531 BMA - SOUTHWEST VIRGINIA 276-935-5888 GRUNDY VA NO NO02/01/198324614

492532 BMA - NEW RIVER VALLEY 540-731-1061 RADFORD VA NO NO05/01/198324141


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

492533 BMA - MOUNTAIN EMPIRE 276-679-9780 NORTON VA NO NO01/01/198424273

492534 TOTAL RENAL CARE - EAST END 804-643-3305 RICHMOND VA YES NO06/01/198523223

492535 CDC - SPRINGFIELD 703-644-4750 SPRINGFIELD VA NO NO11/01/198522152

492536 TAPPAHANNOCK DIALYSIS

CENTER

804-443-3654 TAPPAHANNOCK VA YES NO10/01/198622560

492537 NORFOLK DIALYSIS CENTER 757-461-1050 NORFOLK VA YES NO12/01/198623502

492538 CHESAPEAKE KIDNEY CENTER 757-549-9106 CHESAPEAKE VA NO NO12/01/198623320

492539 LEXINGTON DIALYSIS 540-463-3112 LEXINGTON VA YES NO10/01/198724450

492540 DULLES REGIONAL DIALYSIS

CENTER

703-478-8397 STERLING VA NO NO05/01/198820166

492541 CDC - STERLING/DULLES 703-444-4893 STERLING VA NO NO07/01/198820164

492543 DAVITA - CULPEPER 540-825-5933 CULPEPER VA YES NO11/01/198822701

492544 RICHLANDS EXPRESS DIALYSIS

CENTER

276-964-4988 RICHLANDS VA YES NO11/01/198924641


CHESAPEAKE

757-523-3066 CHESAPEAKE VA NO NO12/01/198923320


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

492546 BMA - GILES 540-921-1311 PEARISBURG VA YES NO12/01/198924134

492548 BMA - NORTH ROANOKE 540-344-4665 ROANOKE VA YES NO01/01/199024012

492549 CDC - MANASSAS 703-257-7544 MANASSAS VA NO NO01/01/199020109

492551 MEHERRIN DIALYSIS CENTER 434-348-8388 EMPORIA VA YES NO03/01/199023847

492552 RAI CARE CENTER - THIMBLE

SHOALS

757-873-3109 NEWPORT NEWS VA YES NO08/01/199023606

492554 RAI CARE CENTER - GOODE

WAY-PORTSMOUTH

757-393-3658 PORTSMOUTH VA NO NO11/01/199023704

492556 DAVITA - HIOAKS DIALYSIS 804-272-2017 RICHMOND VA YES NO02/01/199123225

492558 BMA - BLUE RIDGE 540-586-6977 BEDFORD VA YES NO04/01/199124523

492559 DAVITA - ARLINGTON 703-527-7636 ARLINGTON VA NO NO11/01/199122205

492560 DAVITA - MARTINSVILLE

DIALYSIS

276-634-4509 MARTINSVILLE VA YES NO12/01/199124112

492561 RAI - MECHANICSVILLE

TURNPIKE

804-644-4056 RICHMOND VA YES NO12/01/199123223

492562 CDC - ALEXANDRIA 703-751-1611 ALEXANDRIA VA NO NO04/01/199222304


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


HOPEWELL

804-452-2249 HOPEWELL VA YES NO09/01/199223860

492564 DAVITA - CHARLOTTESVILLE 434-979-9599 CHARLOTTESVILLE VA YES NO08/01/199222902

492565 BMA - FRANKLIN COUNTY 540-484-4705 ROCKY MOUNT VA YES NO01/01/199324151

492566 RAPPAHANNOCK DIALYSIS 804-435-5088 KILMARNOCK VA YES NO06/01/199322482

492567 KEMPSVILLE DIALYSIS CENTER 757-466-6944 NORFOLK VA YES NO06/01/199323502

492570 BMA - CRYSTAL SPRING 540-342-2551 ROANOKE VA NO NO09/01/199324014

492572 BMA - RUSSELL COUNTY 276-889-9171 LEBANON VA YES NO04/01/199424266

492573 FRONT ROYAL DIALYSIS 540-636-6690 FRONT ROYAL VA YES NO04/01/199422630

492574 DAVITA - NEWPORT NEWS 757-245-5809 NEWPORT NEWS VA YES NO09/01/199423605

492575 TOTAL RENAL CARE - VIRGINIA

BEACH

757-499-9130 VIRGINIA BEACH VA NO NO12/01/199423455

492576 SOUTHAMPTON DIALYSIS

CENTER

757-562-2223 FRANKLIN VA NO NO12/01/199423851

492578 BMA - WYTHEVILLE 276-228-8352 WYTHEVILLE VA NO NO06/23/199524382


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

492579 BMA - GARRISONVILLE 540-720-0122 STAFFORD VA NO NO04/07/199522554

492580 DAVITA - TYSONS CORNER 703-827-7864 VIENNA VA YES NO07/27/199522182

492581 RAI -

CHURCHLAND-CHESAPEAKE

757-484-4362 CHESAPEAKE VA NO NO03/06/199623321

492583 DAVITA - AMELIA 804-561-1666 AMELIA VA YES NO11/25/199623002

492584 TOTAL RENAL CARE - GHENT 757-622-2286 NORFOLK VA NO NO12/12/199623507

492587 FMC - FORT BELVOIR 703-360-0455 ALEXANDRIA VA YES NO07/07/199722309

492588 BMA - GREATER NORFOLK 757-622-2493 NORFOLK VA NO NO09/26/199723517

492589 DAVITA - ALEXANDRIA 703-823-3794 ALEXANDRIA VA YES NO03/27/199822304

492590 WESTHAMPTON DIALYSIS

CENTER LLC


492591 TOTAL RENAL CARE - FAIRFAX 703-876-6844 FAIRFAX VA YES NO07/27/199822031

492592 RAI - AIRLINE PORTSMOUTH 757-465-5508 PORTSMOUTH VA YES NO08/24/199823701

492593 BMA - BOWLING GREEN 804-633-3979 BOWLING GREEN VA NO NO09/25/199822427


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

492594 APPOMATTOX DIALYSIS

CENTER

804-733-3147 PETERSBURG VA YES NO10/21/199823803

492595 FMC - MONTGOMERY 540-951-1146 BLACKSBURG VA YES NO02/09/199924060

492596 FMC - POTOMAC MILLS 703-551-1131 DALE CITY VA NO NO02/05/199922192

492598 DAVITA - HENRICO COUNTY 804-262-2807 RICHMOND VA YES NO04/01/199923227


RICHMOND COMMUNITY


492600 RAI CARE CENTER - WEST

LEIGH RICHMOND

804-649-9807 RICHMOND VA NO NO09/15/199923220

492601 HOPE DIALYSIS CENTER 757-838-8158 HAMPTON VA YES NO09/01/199923666


ARLINGTON/ALEXANDRIA

703-892-2025 ARLINGTON VA NO NO12/13/199922206

492603 ARA - MECHANICSVILLE

DIALYSIS

804-569-9608 MECHANICSVILLE VA YES NO03/24/200023116

492604 GREAT BRIDGE DIALYSIS

CENTER

757-312-2834 CHESAPEAKE VA YES NO04/07/200023320

492605 DAVITA - MECHANICSVILLE 804-730-0314 MECHANICSVILLE VA NO NO05/15/200023116

492607 DAVITA - CHESTER DIALYSIS 804-768-8677 CHESTER VA NO NO08/14/200023831


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

492608 DAVITA - MIDLOTHIAN

DIALYSIS

804-594-4352 MIDLOTHIAN VA NO NO09/06/200023113

492610 FMC - FRIENDSHIP MANOR 540-561-1087 ROANOKE VA YES NO10/12/200024012

492612 FIRST LANDING DIALYSIS

CENTER

757-496-6230 VIRGINIA BEACH VA NO NO09/17/200123454

492614 PURCELLVILLE DIALYSIS

CENTER

540-338-8150 PURCELLVILLE VA YES NO10/29/200120132

492615 RENAL CAREPARTNERS OF

RESTON LLC

703-476-6060 RESTON VA YES NO07/31/200220191

492616 PORTSMOUTH DIALYSIS

CENTER

757-397-7430 PORTSMOUTH VA YES NO03/07/200323705

492617 PENINSULA DIALYSIS CENTER 757-886-6614 NEWPORT NEWS VA YES NO05/01/200323602

492618 DAVITA - GREATER

PORTSMOUTH

757-397-7280 PORTSMOUTH VA NO NO05/01/200323707

492619 DAVITA - RADFORD DIALYSIS 540-639-9956 RADFORD VA YES NO08/13/200324141


FAIRFAX

703-691-1782 FAIRFAX VA YES NO10/29/200322030

492621 DAVITA - SMITHFIELD 757-238-8988 CARROLLTON VA NO NO12/08/200323314

492622 DCA - WARSAW 804-333-3444 WARSAW VA YES NO01/30/200422572


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

492623 FRANCONIA DIALYSIS CENTER 703-921-1950 ALEXANDRIA VA NO NO02/18/200422315

492624 RENAL CARE GROUP - PATRICK

COUNTY

276-694-4805 STUART VA NO NO02/11/200424171

492625 RESTON DIALYSIS CENTER 703-391-1549 RESTON VA NO NO02/23/200420191

492626 FAIR OAKS DIALYSIS 703-385-5531 FAIRFAX VA NO NO09/28/200422030

492627 DCA - ASHLAND 804-752-2344 ASHLAND VA YES NO12/16/200423005

492628 FOREST PARK DIALYSIS

CENTER

804-288-8275 RICHMOND VA NO NO02/03/200523229

492629 LEIGH DIALYSIS CENTER 757-455-5006 NORFOLK VA YES NO03/01/200523502

492630 FMC - ABINGDON 276-628-8338 ABINGDON VA NO NO03/09/200524210

492631 FMC - VIRGINIA BEACH 757-687-7790 VIRGINIA BEACH VA NO NO05/04/200523452

492632 FMC - PRINCE WILLIAM

COUNTY DIALYSIS

703-530-0100 MANASSAS VA YES NO05/11/200520110

492633 DOMINION DIALYSIS CENTER 757-549-9381 CHESAPEAKE VA NO NO08/03/200523320


KINGS DAUGHTERS

757-668-8815 NORFOLK VA YES YES07/01/199123507


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

493501 RIVERSIDE DIALYSIS CENTER -

SMITHFIELD

757-357-7541 SMITHFIELD VA NO NO06/01/198823430


HILTON

757-594-4553 NEWPORT NEWS VA NO NO09/01/199023601


WILLIAMSBURG

757-220-0346 WILLIAMSBURG VA YES NO01/01/199123185

493504 FAIRFAX HOSPITAL FOR

CHILDREN

703-970-0260 FAIRFAX VA YES NO06/01/199422031

493505 ZIONS CROSS ROAD DIALYSIS 434-924-4900 GORDONSVILLE VA NO NO06/05/199722942


NORGE

757-220-0308 WILLIAMSBURG VA NO NO07/02/199723188

493507 ORANGE DIALYSIS FACILITY 540-661-1301 ORANGE VA NO NO05/03/199922960


CHESAPEAKE AVENUE

757-928-8804 NEWPORT NEWS VA NO NO07/07/199923607

493509 UVA AUGUSTA DIALYSIS 540-332-2597 FISHERSVILLE VA YES NO05/15/200022939


GLOUCESTER

804-693-3889 GLOUCESTER VA YES NO04/01/200123061

493511 UVA PAGE DIALYSIS 540-778-8348 STANLEY VA NO NO05/28/200322851

493512 UVA AMHERST DIALYSIS 434-946-6008 AMHERST VA NO NO11/03/200424521


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

493513 UVA LYNCHBURG DIALYSIS 434-455-5710 LYNCHBURG VA YES NO11/08/200424501

499996 FLUVANNA CORRECTIONAL

CENTER FOR WOMEN

434-984-4370 TROY VA NO NO07/01/200122974

499997 PEABODY DIALYSIS 434-535-5700 JARRETT VA NO NO01/01/198023870

480001 SCHNEIDER HOSP ST THS 340-776-6831 SAINT THOMAS VI YES NO09/01/1977482300 00802

480002 J LUIS HOSPITAL ST. CX 340-778-8631 CHRISTIANSTED VI YES NO06/09/1995482302 00820

482500 HEALTH QUEST ST. CROIX 340-773-3322 CHRISTIANSTED VI YES NO03/17/200300820

470003 FLETCHER ALLEN HEALTHCARE

- MEDICAL CENTER HOSP OF

VT CAMP

802-847-7357 BURLINGTON VT YES YES08/31/1977472300 05401


- MEDICAL CENTER HOSP OF

VT TRAN

802-847-7477 BURLINGTON VT NO YES08/31/197705401

472500 SOUTHWESTERN VERMONT -

FLETCHER ALLEN DIALYSIS

SERVICES LLC

802-440-0602 BENNINGTON VT NO NO02/08/200005201


- BARRE SATELLITE

802-225-5703 BARRE VT NO NO09/24/199105641


- RRMC SATELLITE

802-747-7623 RUTLAND VT NO NO03/11/199605701


- ST. ALBANS SATELLITE

802-524-4840 SAINT ALBANS VT NO NO05/05/199705478


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


- CHITTENDEN COUNTY

DIALYSIS

802-847-7303 SOUTH

BURLINGTON

VT YES NO05/01/200005403

500005 VIRGINIA MASON MEDICAL

CENTER

206-341-1092 SEATTLE WA NO YES09/01/197798111

500008 UNIVERSITY OF WASHINGTON

MEDICAL CENTER TRANSPLANT

SERVICES

206-598-8881 SEATTLE WA NO YES09/01/197798195

500016 CENTRAL WASHINGTON

HOSPITAL DIALYSIS CENTER

509-665-5614 WENATCHEE WA YES NO09/01/197798801

500027 SWEDISH MEDICAL CENTER

TRANSPLANT SERVICES

206-386-6366 SEATTLE WA NO YES09/01/197798104

500041 PEACEHEALTH DIALYSIS

CENTER

360-414-4220 LONGVIEW WA YES NO09/24/1985502308 98632

500054 SACRED HEART MC

TRANSPLANT

509-474-4450 SPOKANE WA NO YES10/16/198199220

500057 TRI-STATE MEMORIAL

HOSPITAL INC DIALYSIS UNIT

509-758-8465 CLARKSTON WA YES NO03/11/1988502310 99403

500108 ST JOSEPH MEDICAL CENTER

NEPHROLOGY SERVICES

253-426-6668 TACOMA WA YES NO09/01/1977502307 98401

502500 NKC HAVILAND KIDNEY

CENTER

206-292-2277 SEATTLE WA YES NO09/01/197798122

502501 MT BAKER KIDNEY CENTER 360-734-4424 BELLINGHAM WA YES NO07/14/198098225

502502 OLYMPIC PENINSULA KIDNEY

CENTER

360-479-9590 BREMERTON WA YES NO10/16/198098310


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

502503 PUGET SOUND KIDNEY CENTER 425-259-9519 EVERETT WA NO NO04/15/198198201

502504 MID-COLUMBIA KIDNEY

CENTER

509-545-5020 PASCO WA YES NO03/25/198199301

502505 NKC LAKE WASHINGTON

KIDNEY CENTER

425-454-4006 BELLEVUE WA NO NO08/31/198198004

502507 NKC SCRIBNER KIDNEY

CENTER

206-363-3509 SEATTLE WA NO NO08/01/198398133

502508 NKC MT RAINIER KIDNEY

CENTER

425-251-1064 RENTON WA NO NO02/28/198698055

502509 NKC CASCADE KIDNEY CENTER 206-824-4999 NORMANDY PARK WA NO NO07/18/198898148

502510 NKC PORT ANGELES KIDNEY

CENTER

360-565-5143 PORT ANGELES WA YES NO07/18/198898362

502511 NKC ELLIOTT BAY KIDNEY

CENTER

206-292-2251 SEATTLE WA NO NO09/05/199198122

502513 FEDERAL WAY COMMUNITY

DIALYSIS CENTER

253-661-1905 FEDERAL WAY WA YES NO10/15/199398003

502514 MT ADAMS KIDNEY CENTER 509-837-7201 SUNNYSIDE WA YES NO11/14/199498944

502516 NKC TOTEM LAKE KIDNEY

CENTER

425-821-1878 KIRKLAND WA NO NO04/29/199698034

502517 QUALICENTERS - WALLA

WALLA LLC

509-522-2563 WALLA WALLA WA YES NO08/21/199699362


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

502518 TRI-CITIES KIDNEY CENTER 509-783-3719 KENNEWICK WA YES NO03/07/199799336

502519 LAKEWOOD COMMUNITY

DIALYSIS CENTER

253-512-2240 LAKEWOOD WA YES NO02/14/199798499

502520 NKC AUBURN KIDNEY CENTER 253-804-4832 AUBURN WA NO NO01/13/199798001

502521 PUGET SOUND KC SOUTH 425-744-4109 MOUNTLAKE

TERRACE

WA YES NO08/06/199798043

502522 PNRS FT VANCOUVER 360-254-4232 VANCOUVER WA NO NO02/01/199898684

502523 NKC WEST SEATTLE KIDNEY

CENTER

206-923-3356 SEATTLE WA NO NO09/21/199898106

502524 PNRS SALMON CREEK 360-576-6135 VANCOUVER WA NO NO11/23/199898665

502525 OLYMPIC VIEW DIALYSIS

CENTER

206-323-3890 SEATTLE WA YES NO02/16/199998112

502526 KENT COMMUNITY DIALYSIS

CENTER

253-872-2887 KENT WA NO NO02/11/200098032

502527 INRCG SPOKANE KIDNEY

CENTER

509-473-3101 SPOKANE WA YES NO12/01/200099202

502528 INRCG NORTHPOINTE DIALYSIS

UNIT

509-468-8860 SPOKANE WA NO NO12/01/200099218

502529 INRCG MOSES LAKE DIALYSIS

UNIT

509-765-5912 MOSES LAKE WA NO NO12/01/200098837


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

502530 RCG NW - LACEY 360-459-9353 OLYMPIA WA YES NO12/31/200098503

502531 RCG NW - ABERDEEN 360-533-3680 ABERDEEN WA NO NO12/31/200098520

502532 OLYMPIC PENINSULA KC -

SOUTH KITSAP

360-895-5779 PORT ORCHARD WA NO NO04/13/200198366

502533 INRCG OMAK DIALYSIS CENTER 509-826-6868 OMAK WA NO NO02/27/200198841

502534 PUYALLUP COMMUNITY

DIALYSIS CENTER

253-845-5212 PUYALLUP WA YES NO09/21/200198373

502535 INRCG VALLEY DIALYSIS UNIT 509-891-1110 SPOKANE WA NO NO09/01/200199206

502536 NKC LAKE CITY KIDNEY

CENTER

206-365-5077 LAKE FOREST PARK WA NO NO01/25/200298155

502537 FMC SPOKANE VALLEY

DIALYSIS

509-228-8993 SPOKANE WA YES NO04/26/200299216

502538 FMC NORTH SPOKANE

DIALYSIS

509-465-5477 SPOKANE WA YES NO04/12/200299208

502539 RCG NW - CHEHALIS 360-740-0560 CHEHALIS WA NO NO08/01/200298532

502540 NKC SNOQUALMIE RIDGE

KIDNEY CENTER

425-396-6709 SNOQUALMIE WA NO NO01/13/200398065

502541 YAKIMA DIALYSIS CENTER 509-457-7833 YAKIMA WA YES NO12/01/200298902


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

502542 BELLEVUE DIALYSIS CENTER 425-641-1651 BELLEVUE WA YES NO03/15/200498006

502543 UNION GAP DIALYSIS CENTER 509-469-9629 UNION GAP WA YES NO06/08/200498903

502544 WESTWOOD DIALYSIS CENTER 206-938-8673 SEATTLE WA YES NO10/25/200498126

502545 PUGET SOUND KIDNEY CENTER

WHIDBEY ISLAND

360-679-9670 OAK HARBOR WA NO NO02/01/200598277

502546 PUGET SOUND KIDNEY CENTER

SMOKEY POINT

360-454-4528 ARLINGTON WA NO NO03/15/200598223

502547 FMC DOWNTOWN SPOKANE 509-363-3007 SPOKANE WA NO NO08/09/200599205

502548 RCG NW - SHELTON 360-432-2260 SHELTON WA NO NO01/10/200698584


DIALYSIS

206-987-7252 SEATTLE WA YES YES09/01/197798105


TRANSPLANT

206-987-7197 SEATTLE WA NO YES09/01/197798105

503505 SKAGIT VALLEY KIDNEY

CENTER

360-428-8826 MOUNT VERNON WA YES NO12/26/199298273

503507 GREATER PUYALLUP DIALYSIS

CENTER

253-445-5752 PUYALLUP WA NO NO09/18/200098373

503510 ST JOSEPH DIALYSIS CENTER

GIG HARBOR

253-853-3296 GIG HARBOR WA NO NO03/29/200498335


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

520002 ST MICHAEL HOSPITAL -

STEVENS POINT

715-346-6568 STEVENS POINT WI YES NO09/01/1977522300 54481

520003 MAYO DIALYSIS - MENOMONIE 715-233-3764 MENOMONIE WI NO NO10/06/1999522331 54751

520011 LAKEVIEW MEDICAL CENTER 715-236-6615 RICE LAKE WI YES NO03/01/1978522320 54868

520013 SACRED HEART HOSPITAL

DIALYSIS

715-833-3655 EAU CLAIRE WI YES NO07/09/1998522327 54701

520021 ST CATHERINES KIDNEY

CENTER - UNITED HOSPITAL

SYSTEM

262-577-7879 PLEASANT PRAIRIE WI YES NO10/01/2000522335 53158

520025 WAUPUN REGIONAL DIALYSIS 920-324-4653 WAUPUN WI NO NO09/01/1977522301 53963

520037 MINISTRY DIALYSIS -

MARSHFIELD

715-387-7775 MARSHFIELD WI YES NO09/01/1977522302 54449


ZABLOCKI

414-384-4200 MILWAUKEE WI NO NO11/16/197053295

520041 DIVINE SAVIOR HEALTHCARE

DIALYSIS

608-745-5516 PORTAGE WI NO NO08/12/2004522339 53901

520044 ST NICHOLAS HOSPITAL -

DIALYSIS

920-459-9479 SHEBOYGAN WI YES NO03/15/1982522323 53081

520057 SSM DIALYSIS - LAKE DELTON 608-253-3467 WISCONSIN DELLS WI YES NO06/28/2000522332 53940

520066 MERCY REGIONAL DIALYSIS

CENTER

608-741-1381 JANESVILLE WI YES NO11/08/1999522329 53548


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

520070 LUTHER HOSPITAL - MAYO

CLINIC DIALYSIS

715-838-8317 EAU CLAIRE WI YES NO09/01/1977522311 54702

520075 ST VINCENT HOSPITAL

REGIONAL DIALYSIS CENTER

920-433-3844 GREEN BAY WI NO NO09/01/1977522312 54301

520083 SSM DIALYSIS - MADISON

STATION

608-229-9722 MADISON WI YES NO06/22/2000522333 53713

520087 GUNDERSEN LUTHERAN

MEDICAL CENTER-LACROSSE

608-775-5363 LA CROSSE WI YES NO09/01/1977522313 54601

520091 HOWARD YOUNG MEDICAL

CENTER

715-356-6888 WOODRUFF WI YES NO09/01/1977522314 54568

520094 ALL SAINTS HEALTHCARE -

DIALYSIS EAST

262-687-7636 RACINE WI YES NO09/01/1977522315 53403

520098 UNIVERSITY OF WI

TRANSPLANT

608-263-3138 MADISON WI NO YES09/01/197753792

520100 BELOIT MEMORIAL DIALYSIS

CENTER

608-364-4558 BELOIT WI YES NO12/07/1987522324 53511

520107 HOLY FAMILY MEMORIAL

DIALYSIS CENTER

920-683-3541 MANITOWOC WI YES NO10/22/199354220

520109 HESS MEMORIAL HOSPITAL 608-847-7616 MAUSTON WI NO NO03/04/1999522328 53948

520113 BAY AREA MEDICAL CENTER 715-735-5420 MARINETTE WI YES NO09/01/1977522317 54143

520138 ST LUKES RENAL TRANSPLANT

CENTER

414-649-9541 MILWAUKEE WI NO YES06/29/200053215


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

520177 FROEDTERT MEMORIAL HOSP

TRANSPLANT


521312 MEMORIAL HOSPITAL OF

LAFAYETTE COUNTY

608-776-6575 DARLINGTON WI NO NO11/03/2004522340 53530

522500 FRESENIUS DIALYSIS

SERVICES OF NE WISCONSIN

920-725-5786 NEENAH WI YES NO09/01/197754956

522501 DAVITA - FOX RIVER 920-436-6491 GREEN BAY WI YES NO10/02/198554301

522502 DAVITA - WISCONSIN AVE 414-937-7824 MILWAUKEE WI NO NO12/09/198653208

522503 DAVITA - JANESVILLE 608-741-1418 JANESVILLE WI YES NO10/07/198753545

522504 PURITY DIALYSIS - WAUKESHA 262-928-8257 WAUKESHA WI YES NO10/09/198753188

522506 MIDWEST DIALYSIS - SOUTH 414-672-2828 MILWAUKEE WI YES NO02/09/198953215

522507 DAVITA - LOOMIS RD 414-761-1492 MILWAUKEE WI NO NO03/22/198953221

522509 DAVITA - RIVERCENTER DR 414-225-5374 MILWAUKEE WI NO NO01/01/199253212

522510 FMC DIALYSIS - MILWAUKEE 414-265-5570 MILWAUKEE WI YES NO05/19/199253212

522511 DAVITA - NORTH WOODS 715-526-6431 SHAWANO WI NO NO09/04/199254166


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

522512 MIDWEST DIALYSIS - CAPITOL

BRANCH

414-873-3360 MILWAUKEE WI YES NO10/19/199253216

522513 PURITY DIALYSIS -

BROOKFIELD

262-782-2985 BROOKFIELD WI YES NO11/17/199253005


SERVICES OF APPLETON

920-954-4983 APPLETON WI NO NO02/14/199254914


OCONOMOWOC

262-567-7319 OCONOMOWOC WI YES NO06/02/199353066


SERVICES OF OSHKOSH

920-236-6178 OSHKOSH WI NO NO09/08/199354904

522519 ST CROIX FALLS DIALYSIS OF

DAVITA

715-483-3155 ST CROIX FALLS WI NO NO04/21/198954024


MUKWONAGO

262-363-3192 MUKWONAGO WI YES NO05/17/199653149


MENOMONEE FALLS

262-253-3976 MENOMONEE FALLS WI YES NO07/22/199753051

522524 MIDWEST DIALYSIS - GOOD

HOPE BRANCH



WATERTOWN

920-206-6066 WATERTOWN WI YES NO12/04/199753098

522526 AURORA MEDICAL GROUP -

FOND DU LAC

920-907-7712 FOND DU LAC WI YES NO06/30/199854935


SHEBOYGAN

920-459-9117 SHEBOYGAN WI YES NO07/23/199853081


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

522528 MIDWEST DIALYSIS - RYAN RD 414-761-1808 OAK CREEK WI NO NO01/25/199953154

522529 DAVITA - CEDARBURG 262-376-6801 CEDARBURG WI YES NO02/18/199953012

522530 WISCONSIN RCG - CENTRE

POINT

414-774-4124 WEST ALLIS WI YES NO04/01/199953214

522531 WI RCG - SHOREWOOD 414-962-2162 SHOREWOOD WI YES NO04/01/199953211

522532 DAVITA - CAPITOL DRIVE 262-781-1027 BROOKFIELD WI NO NO11/05/199953045

522533 PURITY DIALYSIS - FORT

ATKINSON

920-563-3866 FORT ATKINSON WI YES NO11/01/199953538

522534 TRI STATE DIALYSIS -

PLATTEVILLE

608-348-8506 PLATTEVILLE WI NO NO08/09/200053818

522535 PURITY DIALYSIS - NEW

BERLIN

262-789-9714 NEW BERLIN WI YES NO08/14/200053151

522536 THE KIDNEY INSTITUTE, LTD 414-778-8162 WAUWATOSA WI YES NO10/24/200053226


LAKE GENEVA

262-249-9504 LAKE GENEVA WI YES NO01/10/200153147

522538 FMC DIALYSIS - SUPERIOR 715-395-5219 SUPERIOR WI NO NO09/01/200054880

522539 FMC DIALYSIS -

CHEQUAMEGON BAY

715-682-2433 ASHLAND WI NO NO09/01/200054806


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

522540 MIDWEST KIDNEY CARE -

RACINE

262-598-8872 RACINE WI YES NO02/26/200153406

522542 MIDWEST DIALYSIS -

GLENDALE


522543 COMMONWEALTH DIALYSIS

CENTER

414-281-1680 GREENFIELD WI YES NO10/19/200153220

522544 MIDWEST DIALYSIS - WEST

BEND

262-306-6270 WEST BEND WI YES NO11/30/200153095

522545 DIALYSIS CARE - OSHKOSH 920-223-3499 OSHKOSH WI YES NO02/17/200354904

522546 DIALYSIS CARE - APPLETON 920-997-7860 APPLETON WI YES NO02/15/200254911

522547 DIALYSIS CARE - RIPON 920-748-8044 RIPON WI NO NO04/26/200254971

522548 THE KIDNEY INSTITUTE OF WI

- NW

414-393-3060 MILWAUKEE WI NO NO07/22/200253225


SERVICES OF RIPON

920-748-8865 RIPON WI NO NO03/21/200254971


SERVICES OF KAUKAUNA

920-759-9454 KAUKAUNA WI YES NO09/23/200254130


MARINETTE DIALYSIS

715-732-2801 MARINETTE WI YES NO02/07/200354143


BROWN COUNTY DIALYSIS

920-465-5043 GREEN BAY WI YES NO01/21/200354302


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

522553 BEAVER DAM DIALYSIS CENTER 920-887-7337 BEAVER DAM WI NO NO08/01/200253916

522554 THE KIDNEY INSTITUTE OF WI

- NE

414-431-1596 GLENDALE WI NO NO05/16/200353209

522555 WI DIALYSIS INC - FITCHBURG

CLINIC

608-270-0560 MADISON WI YES NO07/01/200353713


STURGEON BAY DIALYSIS

920-746-6795 STURGEON BAY WI YES NO07/10/200354235


OSHKOSH EAST

920-233-3992 OSHKOSH WI YES NO07/29/200354901

522558 DAVITA - TITLE TOWN 920-327-7212 GREEN BAY WI NO NO08/14/200354303

522559 WI DIALYSIS INC - EAST 608-243-3300 MADISON WI YES NO11/11/199653718


OSHKOSH WEST

920-456-6786 OSHKOSH WI YES NO04/02/200454904

522561 MIDWEST DIALYSIS -

LAKESHORE

414-744-4434 SAINT FRANCIS WI YES NO06/17/200453235


MANITOWOC DIALYSIS

920-686-6533 MANITOWOC WI YES NO08/31/200454220


WAUTOMA DIALYSIS

920-787-7692 WAUTOMA WI NO NO04/04/200554982

522564 MIDWEST KIDNEY CARE -

KENOSHA

262-697-7632 KENOSHA WI YES NO03/29/200553142


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

522565 ARA - MILWAUKEE 414-265-5170 MILWAUKEE WI YES NO12/05/200553209

522566 KIDNEY INSTITUTE CENTER OF

EXCELLENCE

414-755-5630 WAUWATOSA WI NO NO01/10/200653226

523300 CHILDRENS OF WI DIALYSIS 414-266-6284 MILWAUKEE WI YES YES10/19/198753201

523300 CHILDRENS OF WI

TRANSPLANT


523500 GUNDERSEN LUTHERAN SAT -

PRAIRIE DU CHIEN

608-357-7200 PRAIRIE DU CHIEN WI NO NO09/27/198653821


TOMAH

608-374-4028 TOMAH WI NO NO02/16/199054660

523506 FOND DU LAC DIALYSIS

CENTER

920-923-3233 FOND DU LAC WI YES NO05/19/199354935

523508 MAYO DIALYSIS - CHIPPEWA

FALLS

715-720-0449 CHIPPEWA FALLS WI NO NO02/02/199554729

523510 ST JOSEPHS DIALYSIS -

WISCONSIN RAPIDS

715-422-2055 WISCONSIN

RAPIDS

WI NO NO03/16/199554494


WHITEHALL

715-538-8436 WHITEHALL WI NO NO08/09/199554773

523515 MAYO DIALYSIS - BARRON 715-537-7134 BARRON WI NO NO02/12/199854812

523516 WAUSAU KIDNEY CENTER 715-845-5845 WAUSAU WI YES NO04/01/199854401


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State


VIROQUA

608-637-7437 VIROQUA WI NO NO09/18/199854665

523518 WAUPACA KIDNEY CENTER 715-258-8340 WAUPACA WI NO NO09/17/199854981

523519 MAYO DIALYSIS - LA CROSSE 608-791-1384 LA CROSSE WI NO NO04/07/199954601

523520 RHINELANDER DIALYSIS

CENTER

715-365-5808 RHINELANDER WI YES NO05/25/200054501

523522 MAYO CLINIC DIALYSIS -

LONDON ROAD

715-838-8387 EAU CLAIRE WI NO NO06/24/200354701

523523 ALL SAINTS HEALTHCARE -

DIALYSIS WEST

262-687-7755 RACINE WI NO NO04/01/200353406

523524 ST JOSEPHS HOSP - STANLEY

DIALYSIS CENTER

715-389-9790 STANLEY WI NO NO05/13/200454768

523525 SACRED HEART DIALYSIS AT

ST JOSEPHS HOSPITAL

715-726-6374 CHIPPEWA FALLS WI NO NO07/01/200454729

523526 LAKEVIEW MEDICAL CENTER

SATELLITE DIALYSIS

715-635-5530 SPOONER WI NO NO02/12/200454801

523527 ASPIRUS HOSP DIALYSIS

CENTER

715-847-7001 WAUSAU WI YES NO10/20/200454401


ONALASKA

608-775-5136 ONALASKA WI NO NO10/24/200554650

510001 WEST VA UNIVERSITY - RENAL

TRANSPLANT PROG

304-293-3111 MORGANTOWN WV NO YES07/01/198826506


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

510022 CHARLESTON AREA MEDICAL

CENTER

304-388-8757 CHARLESTON WV NO YES10/01/198625325

510055 CABELL-HUNTINGTON

HOSPITAL

304-526-6231 HUNTINGTON WV YES NO09/01/197725701

512502 BMA - MARTINSBURG 304-263-3096 MARTINSBURG WV YES NO09/01/197725401

512503 WEST VIRGINIA DIALYSIS

FACILITIES

304-345-5732 CHARLESTON WV YES NO04/01/198025304

512505 BMA - BECKLEY 304-252-2927 BECKLEY WV YES NO06/01/198425801

512506 BMA - MORGANTOWN 304-291-1653 MORGANTOWN WV YES NO09/01/197726501

512507 BMA - WELCH 304-436-6842 WELCH WV NO NO08/01/198524801

512508 FMC - ELKINS 304-636-6614 ELKINS WV YES NO05/01/198626241

512509 DAVITA - GREENBRIER

DIALYSIS

304-645-5480 LEWISBURG WV YES NO03/01/199024901

512511 BMA - OAK HILL 304-465-5321 OAK HILL WV YES NO11/21/199625901

512513 WHEELING DIALYSIS CENTER 304-242-2777 WHEELING WV NO NO09/01/197726003

512514 NEW MARTINSVILLE DIALYSIS

FACILITY

304-455-5270 NEW MARTINSVILLE WV NO NO07/13/199826155


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

512515 FMC - TWO VIRGINIAS 304-323-3383 BLUEFIELD WV YES NO04/01/199824701

512516 FMC - MERCER COUNTY 304-487-7386 PRINCETON WV YES NO04/01/199824740

512517 FMC - HURRICANE 304-760-0230 HURRICANE WV NO NO11/10/199925526

512518 WEST VIRGINIA DIALYSIS 304-752-2270 LOGAN WV YES NO03/13/200025601

512519 PARKERSBURG DIALYSIS 304-420-0039 PARKERSBURG WV YES NO12/01/200026101

512520 GREATER CHARLESTON

DIALYSIS PLLC

304-720-0222 SOUTH

CHARLESTON

WV YES NO01/01/200225303

512521 FMC - FAIRMONT 304-363-3364 FAIRMONT WV YES NO04/22/200226554


MOOREFIELD, LLC

304-530-0120 MOOREFIELD WV YES NO06/03/200426836

512523 FMC - CLARKSBURG 304-624-4515 CLARKSBURG WV YES NO02/01/200526301

512524 FMC - WESTON 304-269-9514 WESTON WV YES NO02/01/200526452

512525 MOUNTAIN RIDGE DIALYSIS 000-000-0000 SUMMERSVILLE WV YES NO02/06/200626651

530002 CCMH DIALYSIS UNIT 307-688-8198 GILLETTE WY NO NO02/05/1999532305 82718


Provider

Number

Cross-

Reference

Number


Number


Zip Code

Certification

Date

Dialysis

Training

Services

Preliminary

Transplant

Services

Provider

State

530006 MEMORIAL DIALYSIS 307-672-2119 SHERIDAN WY NO NO03/24/1995532302 82801

530011 MEM HOSP OF SWEETWATER

COUNTY/DIALYSIS

307-352-2821 ROCK SPRINGS WY NO NO02/05/1998532304 82901

530016 BIG HORN REGIONAL DIALYSIS 307-578-8222 CODY WY NO NO05/24/199582414

530025 IVINSON MEMORIAL HOSP -

DIALYSIS CENTER

307-742-2214 LARAMIE WY NO NO06/21/1999532306 82072

532501 FMC - CHEYENNE 307-632-2645 CHEYENNE WY YES NO07/01/199782001

532503 WIND RIVER DIALYSIS CENTER 307-332-2299 LANDER WY NO NO02/07/1995530016 82520

532504 WYOMING KIDNEY CENTER 307-472-2370 CASPER WY YES NO05/01/1999531112X 82601

533501 EVANSTON REGIONAL

HOSPITAL/DIALYSIS

307-444-4823 EVANSTON WY NO NO02/07/2000532307 82930


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