Organization
HOME DIALYSIS SERVICES OF SANDUSKY INC.
Active
Parent organization
HOME DIALYSIS SERVICES OF SANDUSKY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOME DIALYSIS SERVICES OF SANDUSKY, INC.
Authorized official
GWANG OCH KIM MD (PRESIDENT)
(419) 627-0477
Entity
Organization
Contact information
Practice address
2819 HAYES AVE, SUITE 2, SANDUSKY, OH 44870-5391
(419) 627-8403
(419) 627-1962
Mailing address
2819 HAYES AVE STE 8, SANDUSKY, OH 44870-5391
(419) 627-0477
(419) 627-0466
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
01
—
000000340065
ANTHEM
OH
05
—
2472104
—
OH
Enumeration date
07/07/2006
Last updated
12/13/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us