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COMMUNITY DIALYSIS CENTER NPI 1568559128


NPI Information

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.


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) Treatment0368DCOHIOYes

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
1362567MEDICARE ID-TYPE UNSPECIFIED
23127262MEDICAIDOHIO

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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