Organization
ARA-CHILLICOTHE DIALYSIS LLC
Active
Other names
Chillicothe Regional Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA DENISE GREENE (VP OF CLINICAL & REGULATORY)
(978) 522-3905
Entity
Organization
Contact information
Practice address
465 SHAWNEE LN, CHILLICOTHE, OH 45601-4145
(740) 774-4777
(740) 774-4774
Mailing address
465 SHAWNEE LN, CHILLICOTHE, OH 45601-4145
(740) 774-4777
(740) 774-4774
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
—
2576949
—
OH
Enumeration date
08/31/2006
Last updated
08/19/2022
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