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ARA-BEXLEY LLC NPI 1730190844


NPI Information

NPI: 1730190844
Provider Name: ARA-BEXLEY LLC

Doing Business As: KIDNEY CENTER OF COLUMBUS EAST

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 36D1005602

Address:
1805 E MAIN ST
COLUMBUS, OH
ZIP 43205
Phone: (614) 253-3300
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ARA-BEXLEY LLC is an end-stage renal disease (esrd) treatment clinic center in Columbus, OH. ARA-BEXLEY LLC NPI is 1730190844. The provider is registered as an organization entity type.
The provider Is Doing Business As Kidney Center Of Columbus East.

The provider's business location address is:

1805 E MAIN ST
COLUMBUS, OH
ZIP 43205-207
Phone: (614) 253-3300
Fax: (614) 253-3340

The provider's authorized official is Shari 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 36D1005602 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 3/10/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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
12400119MEDICAIDOHIO

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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