NPI: 1568559128
Provider Name: COMMUNITY DIALYSIS CENTER
Doing Business As: CENTER FOR DIALYSIS CARE, CLEVELAND WEST
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization
Specialization: End-Stage Renal Disease (ESRD) Treatment
CLIA Number: 36D0930028
Address:
3330 W 25TH ST
CLEVELAND, OH
ZIP 44109
Phone: (216) 741-5776
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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 1568559128. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Dialysis Care, Cleveland West.
The provider's business location address is:
3330 W 25TH ST
CLEVELAND, OH
ZIP 44109-614
Phone: (216) 741-5776
Fax: (216) 741-5467
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 36D0930028 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/6/2006 and was last updated on 7/10/2013.