BULLOCK DIALYSIS LLC NPI 1639715808

NPI Information

NPI: 1639715808
Provider Name: BULLOCK DIALYSIS LLC

Doing Business As: QUEEN CITY DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2290 FERGUSON RD
CINCINNATI, OH
ZIP 45238
Phone: (513) 347-3626
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BULLOCK DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Cincinnati, OH. BULLOCK DIALYSIS LLC NPI is 1639715808. The provider is registered as an organization entity type.
The provider Is Doing Business As Queen City Dialysis.

The provider's business location address is:

2290 FERGUSON RD
CINCINNATI, OH
ZIP 45238
Phone: (513) 347-3626
Fax: (513) 347-2680

The provider's authorized official is Samuel Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.

The enumeration date for this NPI number is 11/22/2019 and was last updated on 1/26/2024.

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			Yes

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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