Organization
FIELDS DIALYSIS LLC
Active
Other names
Forest Fair Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (VICE PRESIDENT)
(253) 382-1919
Entity
Organization
Contact information
Practice address
1145 KEMPER MEADOW DR, CINCINNATI, OH 45240-4118
(513) 674-1691
(513) 674-1697
Mailing address
5200 VIRGINIA WAY, L&C DEPT 4TH FLOOR, BRENTWOOD, TN 37027-7569
(615) 320-4458
(877) 259-3316
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
—
2913093
—
OH
Enumeration date
03/24/2009
Last updated
02/22/2012
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