NPI: 1376630913
Provider Name: COMMUNITY DIALYSIS CENTER
Doing Business As: CENTER FOR DIALYSIS CARE, JEFFERSON
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization
Specialization: End-Stage Renal Disease (ESRD) Treatment
CLIA Number: 36D0918673
Address:
222 E BEECH ST
JEFFERSON, OH
ZIP 44047
Phone: (440) 576-7160
Get Directions
COMMUNITY DIALYSIS CENTER is an end-stage renal disease (esrd) treatment clinic center in Jefferson, OH. COMMUNITY DIALYSIS CENTER NPI is 1376630913. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Dialysis Care, Jefferson.
The provider's business location address is:
222 E BEECH ST
JEFFERSON, OH
ZIP 44047-490
Phone: (440) 576-7160
Fax: (440) 576-7260
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 CLIA number assigned to this NPI record is 36D0918673 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/6/2006 and was last updated on 6/17/2015.