NPI: 1770882599
Provider Name: COMMUNITY DIALYSIS CENTER
Doing Business As: CENTER FOR DIALYSIS CARE, PAINESVILLE
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization
Specialization: End-Stage Renal Disease (ESRD) Treatment
CLIA Number: 36D2022011
Address:
1233 MENTOR AVE
PAINESVILLE, OH
ZIP 44077
Phone: (440) 357-9262
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COMMUNITY DIALYSIS CENTER is an end-stage renal disease (esrd) treatment clinic center in Painesville, OH. COMMUNITY DIALYSIS CENTER NPI is 1770882599. The provider is registered as an organization entity type.
The provider Is Doing Business As Center For Dialysis Care, Painesville.
The provider's business location address is:
1233 MENTOR AVE
PAINESVILLE, OH
ZIP 44077-833
Phone: (440) 357-9262
Fax: (440) 357-9263
The provider's authorized official is Cheryl L Winterich .
The authorized official title is Vice President and has the following contact phone number (216) 295-7003.
The CLIA number assigned to this NPI record is 36D2022011 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/18/2011 and was last updated on 7/10/2013.