Organization
KIDNEY SERVICES OF WEST CENTRAL OHIO LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORINDA J WEST RN CNN (ADMINISTRATOR)
(419) 227-0918
Entity
Organization
Contact information
Practice address
750 W HIGH ST, STE 100, LIMA, OH 45801-3959
(419) 227-0918
(419) 227-0873
Mailing address
750 W HIGH ST, STE 100, LIMA, OH 45801-3959
(419) 227-0918
(419) 227-0873
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0755DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2410199
—
OH
Enumeration date
05/31/2005
Last updated
04/04/2011
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