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BASIN DIALYSIS LLC NPI 1912269929


NPI Information

NPI: 1912269929
Provider Name: BASIN DIALYSIS LLC

Doing Business As: BUCKEYE DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 36D2045081

Address:
3050 S DIXIE DR
KETTERING, OH
ZIP 45409
Phone: (937) 643-2337
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BASIN DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Kettering, OH. BASIN DIALYSIS LLC NPI is 1912269929. The provider is registered as an organization entity type.
The provider Is Doing Business As Buckeye Dialysis.

The provider's business location address is:

3050 S DIXIE DR
KETTERING, OH
ZIP 45409-516
Phone: (937) 643-2337
Fax: (937) 643-2487

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 36D2045081 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2012 and was last updated on 2/2/2022.


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
10087888MEDICAIDOHIO

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: 4/28/2024

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