Organization
DIALYSIS PARTNERS OF NORTHWEST OHIO, LLC
Active
Other names
Dialysis Partners of Northwest Ohio
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID F SHEPHERD (VICE PRESIDENT)
(248) 642-5038
Entity
Organization
Contact information
Practice address
3401 GLENDALE AVE, SUITE 110, TOLEDO, OH 43614-2418
(419) 389-9681
(419) 389-9196
Mailing address
30100 TELEGRAPH RD, SUITE 200, BINGHAM FARMS, MI 48025-4516
(248) 723-0224
(248) 642-7852
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
—
000000327208
ANTHEM BC
OH
01
—
000000327208
BLUE CROSS OF MICHIGAN
—
01
—
03315
PARAMOUNT
—
05
—
2168701
—
OH
01
—
362509
STERLING OPTIONS
—
05
—
4520152
—
MI
01
—
6800612
UNITED HEALTH CARE
—
01
—
707595
FAMILY HEALTH PLAN
—
Enumeration date
07/07/2006
Last updated
05/27/2011
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