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COMMUNITY DIALYSIS CENTER NPI 1477951648


NPI Information

NPI: 1477951648
Provider Name: COMMUNITY DIALYSIS CENTER

Doing Business As: CENTER FOR DIALYSIS CARE AT ELIZA BRYANT VILLAGE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1370 ADDISON ROAD
CLEVELAND, OH
ZIP 44103
Phone: (216) 658-0457
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COMMUNITY DIALYSIS CENTER is an end-stage renal disease (esrd) treatment clinic center in Cleveland, OH. COMMUNITY DIALYSIS CENTER NPI is 1477951648. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Dialysis Care At Eliza Bryant Village.

The provider's business location address is:

1370 ADDISON ROAD
CLEVELAND, OH
ZIP 44103
Phone: (216) 658-0457

The provider's authorized official is Cheryl L Winterich .
The authorized official title is Vp, Strategic Planning and has the following contact phone number (216) 658-0457.

The enumeration date for this NPI number is 12/19/2014 and was last updated on 9/7/2016.


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) 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
1362831MEDICARE OSCAR/CERTIFICATIONOHIO

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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