WALLOWA DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Ontario, OH. WALLOWA DIALYSIS LLC NPI is 1023360955. The provider is registered as an organization entity type.
The provider Is Doing Business As Mid Ohio Dialysis.
The provider's business location address is:
2148 W 4TH ST
ONTARIO, OH
ZIP 44906-200
Phone: (419) 747-4039
Fax: (419) 747-4046
The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.
The CLIA number assigned to this NPI record is 36D2055960 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/2/2012 and was last updated on 6/5/2023.