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COMMUNITY DIALYSIS CENTER NPI 1437246063


NPI Information

NPI: 1437246063
Provider Name: COMMUNITY DIALYSIS CENTER

Doing Business As: CENTER FOR DIALYSIS CARE, MENTOR

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
8900 TYLER BLVD
MENTOR, OH
ZIP 44060
Phone: (440) 951-3602
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COMMUNITY DIALYSIS CENTER is an end-stage renal disease (esrd) treatment clinic center in Mentor, OH. COMMUNITY DIALYSIS CENTER NPI is 1437246063. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Dialysis Care, Mentor.

The provider's business location address is:

8900 TYLER BLVD
MENTOR, OH
ZIP 44060-185
Phone: (440) 951-3602
Fax: (440) 255-7581

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 4/20/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment0639DCOHIOYes

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
10431803MEDICAIDOHIO
2362505MEDICARE ID-TYPE UNSPECIFIED

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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