Organization
CIMARRON DIALYSIS LLC
Active
Other names
Butler County Home Training Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
7335 YANKEE RD, STE 101, LIBERTY TOWNSHIP, OH 45044-0008
(513) 755-2524
(513) 755-3268
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
1053DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2761113
—
OH
Enumeration date
09/11/2013
Last updated
12/23/2024
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