COMMUNITY DIALYSIS CENTER NPI 1215024849

NPI Information

NPI: 1215024849
Provider Name: COMMUNITY DIALYSIS CENTER

Doing Business As: CENTER FOR DIALYSIS CARE, CLEVELAND EAST

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
11717 EUCLID AVE
CLEVELAND, OH
ZIP 44106
Phone: (216) 295-1100
Get Directions

COMMUNITY DIALYSIS CENTER is an end-stage renal disease (esrd) treatment clinic center in Cleveland, OH. COMMUNITY DIALYSIS CENTER NPI is 1215024849. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Dialysis Care, Cleveland East.

The provider's business location address is:

11717 EUCLID AVE
CLEVELAND, OH
ZIP 44106-350
Phone: (216) 295-1100
Fax: (216) 229-2145

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

The enumeration date for this NPI number is 10/6/2006 and was last updated on 4/19/2016.

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	0243DC	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	362500	MEDICARE ID-TYPE UNSPECIFIED
2	0268722	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: 11/14/2023

NPI Synchronization or Removal

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