Organization
CAPITOL DIALYSIS, LLC
Active
Other names
Capital Dialysis - Northwest
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER T FORD (PRESIDENT/CEO)
(978) 922-3080
Entity
Organization
Contact information
Practice address
3333 WISCONSIN AVE NW, WASHINGTON, DC 20016-3807
(202) 362-1511
(202) 362-0111
Mailing address
66 CHERRY HILL DR, SUITE 200, BEVERLY, MA 01915-1054
(978) 922-3080
(978) 922-3085
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017725500
—
DC
05
—
800303300
—
MD
Enumeration date
08/25/2006
Last updated
08/22/2020
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