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OHIO RENAL CARE GROUP LLC NPI 1184191447


NPI Information

NPI: 1184191447
Provider Name: OHIO RENAL CARE GROUP, LLC

Doing Business As: FRESENIUS KIDNEY CARE CUYAHOGA FALLS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 36D2126654

Address:
320 BROADWAY ST E
CUYAHOGA FALLS, OH
ZIP 44221
Phone: (330) 928-4511
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OHIO RENAL CARE GROUP, LLC is an end-stage renal disease (esrd) treatment clinic center in Cuyahoga Falls, OH. OHIO RENAL CARE GROUP, LLC NPI is 1184191447. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care Cuyahoga Falls.

The provider's business location address is:

320 BROADWAY ST E
CUYAHOGA FALLS, OH
ZIP 44221-312
Phone: (330) 928-4511
Fax: (330) 928-4744

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 36D2126654 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2018 and was last updated on 10/19/2023.


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) TreatmentYes

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
10349503MEDICAIDOHIO

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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