KIDNEY CENTER OF BEXLEY LLC NPI 1679859540

NPI Information

NPI: 1679859540
Provider Name: KIDNEY CENTER OF BEXLEY LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 36D2032836

Address:
1151 COLLEGE AVE
COLUMBUS, OH
ZIP 43209
Phone: (614) 231-2200
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KIDNEY CENTER OF BEXLEY LLC is an end-stage renal disease (esrd) treatment clinic center in Columbus, OH. KIDNEY CENTER OF BEXLEY LLC NPI is 1679859540. The provider is registered as an organization entity type.

The provider's business location address is:

1151 COLLEGE AVE
COLUMBUS, OH
ZIP 43209-827
Phone: (614) 231-2200
Fax: (614) 231-2210

The provider's authorized official is Shari K Cousins .
The authorized official title is Sr Vp Of Clinical & Regulatory and has the following contact phone number (978) 922-3080.

The CLIA number assigned to this NPI record is 36D2032836 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2011 and was last updated on 3/17/2020.

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

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	0064135	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: 11/14/2023

NPI Synchronization or Removal

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