COMMUNITY DIALYSIS CENTER NPI 1619102795

NPI Information

NPI: 1619102795
Provider Name: COMMUNITY DIALYSIS CENTER

Doing Business As: CENTER FOR DIALYSIS CARE, BEACHWOOD

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
27350 CEDAR RD
BEACHWOOD, OH
ZIP 44122
Phone: (216) 378-1580
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COMMUNITY DIALYSIS CENTER is an end-stage renal disease (esrd) treatment clinic center in Beachwood, OH. COMMUNITY DIALYSIS CENTER NPI is 1619102795. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Dialysis Care, Beachwood.

The provider's business location address is:

27350 CEDAR RD
BEACHWOOD, OH
ZIP 44122-110
Phone: (216) 378-1580
Fax: (216) 378-1474

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) 229-7003.

The enumeration date for this NPI number is 5/19/2009 and was last updated on 8/5/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	PENDING	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	362758	MEDICARE PIN	OHIO
2	3060780	MEDICAID	OHIO

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

NPI Synchronization or Removal

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