COURT DIALYSIS LLC NPI 1558651679

NPI Information

COURT DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Chillicothe, OH. COURT DIALYSIS LLC NPI is 1558651679. The provider is registered as an organization entity type.
The provider Is Doing Business As Adena Dialysis.

The provider's business location address is:

1180 N BRIDGE ST
CHILLICOTHE, OH
ZIP 45601-793
Phone: (740) 773-3733
Fax: (740) 773-3741

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 36D2024252 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2011 and was last updated on 12/22/2023.

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:

Other Identifiers

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