Organization
GREATER COLUMBUS REGIONAL DIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P MACLAURIN DO (MEDICAL DIRECTOR)
(614) 460-6100
Entity
Organization
Contact information
Practice address
285 E STATE ST, SUITE 170, COLUMBUS, OH 43215-4354
(614) 228-9114
(614) 228-9120
Mailing address
285 E STATE ST, SUITE 170, COLUMBUS, OH 43215
(614) 228-9114
(614) 228-9120
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
01
—
000000217816
ANTHEM
—
05
—
2202691
—
OH
01
—
6800201
UHC
—
Enumeration date
08/30/2006
Last updated
08/22/2020
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