Organization
HOOD DIALYSIS SERVICES, LLC
Active
Other names
Hood Dialysis Services - Citygate
Organization subpart
No
Provider details
NPI number
Authorized official
MELVA HAWKINS (MEMBER)
(614) 235-5361
Entity
Organization
Contact information
Practice address
2360 CITYGATE DR, COLUMBUS, OH 43219-3652
(614) 235-5361
Mailing address
685 N JAMES RD, COLUMBUS, OH 43219-1837
(614) 235-5361
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
OHL40061
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2605998
—
OH
Enumeration date
09/13/2006
Last updated
08/22/2020
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