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OHIO RENAL CARE GROUP LLC NPI 1386759132


NPI Information

NPI: 1386759132
Provider Name: OHIO RENAL CARE GROUP, LLC

Doing Business As: OHIO RENAL CARE GROUP AT FARNSWORTH

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 36D0932095

Address:
3280 W 25TH ST
CLEVELAND, OH
ZIP 44109
Phone: (216) 739-0500
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OHIO RENAL CARE GROUP, LLC is an end-stage renal disease (esrd) treatment clinic center in Cleveland, OH. OHIO RENAL CARE GROUP, LLC NPI is 1386759132. The provider is registered as an organization entity type.
The provider Is Doing Business As Ohio Renal Care Group At Farnsworth.

The provider's business location address is:

3280 W 25TH ST
CLEVELAND, OH
ZIP 44109-670
Phone: (216) 739-0500
Fax: (216) 739-0973

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 36D0932095 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 8/16/2021.


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

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

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