BIRCH DIALYSIS LLC NPI 1801192018

NPI Information

NPI: 1801192018
Provider Name: BIRCH DIALYSIS LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
:
CLIA Number: 36D1067392
Address: 19133 HILLIARD BLVD
ROCKY RIVER, OH
ZIP 44116
Phone: (216) 712-4700

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NPI Details

BIRCH DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Rocky River, OH. BIRCH DIALYSIS LLC NPI is 1801192018. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

19133 HILLIARD BLVD
ROCKY RIVER, OH
ZIP 44116-907
Phone: (216) 712-4700
Fax: (216) 712-4704

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 36D1067392 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2011 and was last updated on 2/18/2025.

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	0907DC	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	0051911	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: 11/21/2025

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