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Organization

OHIO RIVER DIALYSIS LLC

Active
Other names
Lebanon Home Training
Organization subpart
No

Provider details

NPI number
Authorized official
JIM HILGER (VICE PRESIDENT)
(253) 382-1919
Entity
Organization

Contact information

Practice address
918 B COLUMBUS AVE, #1, LEBANON, OH 45036-1402
(513) 934-1474
(513) 934-3458
Mailing address
5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4521
(866) 594-2894

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
2835838
OH
Enumeration date
07/19/2007
Last updated
07/10/2009
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