MAHONEY DIALYSIS LLC NPI 1821433582

NPI Information

MAHONEY DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Marysville, OH. MAHONEY DIALYSIS LLC NPI is 1821433582. The provider is registered as an organization entity type.
The provider Is Doing Business As Meadowhawk Dialysis.

The provider's business location address is:

491 COLEMANS XING
MARYSVILLE, OH
ZIP 43040-068
Phone: (937) 642-0676
Fax: (937) 642-0412

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 36D2062675 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2013 and was last updated on 5/6/2021.

Taxonomy Codes

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Other Identifiers

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