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GREATER COLUMBUS REGIONAL DIALYSIS LLC NPI 1255440129


NPI Information

NPI: 1255440129
Provider Name: GREATER COLUMBUS REGIONAL DIALYSIS LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 36D0971941

Address:
285 E STATE ST
SUITE 170
COLUMBUS, OH
ZIP 43215
Phone: (614) 228-9114
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GREATER COLUMBUS REGIONAL DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Columbus, OH. GREATER COLUMBUS REGIONAL DIALYSIS LLC NPI is 1255440129. The provider is registered as an organization entity type.

The provider's business location address is:

285 E STATE ST
SUITE 170
COLUMBUS, OH
ZIP 43215-354
Phone: (614) 228-9114
Fax: (614) 228-9120

The provider's authorized official is John P Maclaurin .
The authorized official title is Medical Director and has the following contact phone number (614) 460-6100.

The CLIA number assigned to this NPI record is 36D0971941 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2006 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 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
16800201OTHERUHC
2000000217816OTHERANTHEM
32202691MEDICAIDOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.