Organization
JACKSON DIALYSIS AND KIDNEY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH JAIN (BUSINESS MANAGER)
(606) 836-0202
Entity
Organization
Contact information
Practice address
500 MCCARTY LN, JACKSON, OH 45640
(740) 286-1600
(740) 286-1615
Mailing address
122 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7016
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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