BORREGO DIALYSIS LLC NPI 1881050292

NPI Information

BORREGO DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Cincinnati, OH. BORREGO DIALYSIS LLC NPI is 1881050292. The provider is registered as an organization entity type.
The provider Is Doing Business As Western Ridge Dialysis.

The provider's business location address is:

6909 GOOD SAMARITAN DR
STE C
CINCINNATI, OH
ZIP 45247-209
Phone: (513) 353-0237
Fax: (513) 353-0230

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 36D2115484 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/14/2016 and was last updated on 12/29/2020.

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:

Other Identifiers

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