# BUCKEYE DIALYSIS SUPPLY COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871531277
- **Authorized official:** CHERYL WINTERICH (VP STRAGETIC PLANNING)
- **Authorized official phone:** (216) 295-7003

## Contact information

- **Practice address:** 18720 CHAGRIN BLVD, SHAKER HEIGHTS, OH 44122-4855
- **Practice address phone:** (216) 283-7208
- **Practice address fax:** (216) 283-7230
- **Mailing address:** 18720 CHAGRIN BLVD, SHAKER HEIGHTS, OH 44122-4855
- **Mailing address phone:** (216) 283-7208
- **Mailing address fax:** (216) 283-7230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 08/22/2020
