Organization
COMMUNITY DIALYSIS CENTER
Active
Other names
Center for Dialysis Care, Jefferson
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE A NEMECEK (COO)
(216) 658-0458
Entity
Organization
Contact information
Practice address
222 E BEECH ST, JEFFERSON, OH 44047-9490
(440) 576-7160
(440) 576-7260
Mailing address
18720 CHAGRIN BLVD, SHAKER HEIGHTS, OH 44122-4855
(216) 295-7003
(216) 295-7014
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0330DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20000908
—
OH
Enumeration date
10/06/2006
Last updated
03/03/2025
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