EDGEMONT DIALYSIS – NPI #1801386586
Clinic/Center

EDGEMONT DIALYSIS is an AHC clinic located in EAST SAINT LOUIS, IL. NPPES has assigned the NPI number 1801386586 to EDGEMONT DIALYSIS on May 17, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EDGEMONT DIALYSIS” is a dba name, the actual legal business name for this organization is STROWER DIALYSIS LLC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 8 years ago on Oct 05, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDGEMONT DIALYSIS below.

NPI Profile for
STROWER DIALYSIS LLC

NPI Number
1801386586
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STROWER DIALYSIS LLC
Doing Business As (dba): EDGEMONT DIALYSIS
Primary location
8 VIEUX CARRE DR
EAST SAINT LOUIS, IL 62203
Phone: (618) 398-3809 Fax: (618) 398-3881
Mailing address
5200 VIRGINIA WAY
BRENTWOOD, TN 37027-7569
Phone: (615) 238-3136 Fax:
Organization Subpart
No
Authorized Official
JAMES HILGER
CHIEF ACCOUNTING OFFICER
Phone: (253) 733-4500
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.