Organization
CLARION DIALYSIS CENTER, LLC
Active
Other names
Clarion Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI K COUSINS (VP OF CLINICAL)
(814) 232-4655
Entity
Organization
Contact information
Practice address
22631 ROUTE 68 STE 450, CLARION, PA 16214-4076
(814) 223-4655
(814) 223-4658
Mailing address
22631 ROUTE 68 STE 450, CLARION, PA 16214-4076
(814) 223-4655
(814) 223-4658
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
—
1032305260001
—
PA
Enumeration date
08/01/2016
Last updated
07/25/2024
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