Organization
CLARK COUNTY DIALYSIS FACILITY, INC.
Active
Other names
CCDF
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY S SPIERS RN (ADMINISTRATOR)
(937) 328-8933
Entity
Organization
Contact information
Practice address
247 S BURNETT RD, SUITE 110, SPRINGFIELD, OH 45505-2639
(937) 328-8921
(937) 328-8784
Mailing address
247 S BURNETT RD, SUITE 110, SPRINGFIELD, OH 45505-2639
(937) 328-8921
(937) 328-8784
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
192
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0545066
—
OH
Enumeration date
05/25/2006
Last updated
08/22/2020
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