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ARC-CDC LTD NPI 1124115704


NPI Information

NPI: 1124115704
Provider Name: ARC-CDC LTD

Doing Business As: CENTER FOR DIALYSIS CARE, CANFIELD

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 36D0946180

Address:
3695 STUTZ DR
CANFIELD, OH
ZIP 44406
Phone: (330) 702-3040
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ARC-CDC LTD is an end-stage renal disease (esrd) treatment clinic center in Canfield, OH. ARC-CDC LTD NPI is 1124115704. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Dialysis Care, Canfield.

The provider's business location address is:

3695 STUTZ DR
CANFIELD, OH
ZIP 44406-172
Phone: (330) 702-3040
Fax: (330) 702-3050

The provider's authorized official is Diane P Wish .
The authorized official title is Vice President and has the following contact phone number (216) 295-7003.

The CLIA number assigned to this NPI record is 36D0946180 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/6/2006 and was last updated on 7/7/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment0540DCOHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1362612MEDICARE ID-TYPE UNSPECIFIED
22109739MEDICAIDOHIO

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: 4/28/2024

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