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DIALYSIS SPECIALISTS OF COSHOCTON INC. NPI 1922038090


NPI Information

NPI: 1922038090
Provider Name: DIALYSIS SPECIALISTS OF COSHOCTON, INC.

Other Name: DIALYSIS SPECIALISTS OF COSHOCTON, INC

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
235 KENWOOD DR
COSHOCTON, OH
ZIP 43812
Phone: (740) 622-6474
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DIALYSIS SPECIALISTS OF COSHOCTON, INC. is an end-stage renal disease (esrd) treatment clinic center in Coshocton, OH. DIALYSIS SPECIALISTS OF COSHOCTON, INC. NPI is 1922038090. The provider is registered as an organization entity type.
The provider Other Name Is Dialysis Specialists Of Coshocton, Inc.

The provider's business location address is:

235 KENWOOD DR
COSHOCTON, OH
ZIP 43812-997
Phone: (740) 622-6474
Fax: (740) 622-6476

The provider's authorized official is Subbarayudu Koppera .
The authorized official title is President/owner and has the following contact phone number (740) 622-6474.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 10/17/2011.


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) Treatment383OHIOYes

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
12075178MEDICAIDOHIO
2362596MEDICARE OSCAR/CERTIFICATIONOHIO

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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