CLARK COUNTY DIALYSIS FACILITY INC. NPI 1598711137

NPI Information

NPI: 1598711137
Provider Name: CLARK COUNTY DIALYSIS FACILITY, INC.

Other Name: CCDF

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
247 S BURNETT RD
SUITE 110
SPRINGFIELD, OH
ZIP 45505
Phone: (937) 328-8921
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CLARK COUNTY DIALYSIS FACILITY, INC. is an end-stage renal disease (esrd) treatment clinic center in Springfield, OH. CLARK COUNTY DIALYSIS FACILITY, INC. NPI is 1598711137. The provider is registered as an organization entity type.
The provider Other Name Is Ccdf.

The provider's business location address is:

247 S BURNETT RD
SUITE 110
SPRINGFIELD, OH
ZIP 45505-639
Phone: (937) 328-8921
Fax: (937) 328-8784

The provider's authorized official is Jeffrey S Spiers .
The authorized official title is Administrator and has the following contact phone number (937) 328-8933.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	192	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0545066	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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