ASHTABULA RENAL CARE GROUP LLC NPI 1902464506

NPI Information

NPI: 1902464506
Provider Name: ASHTABULA RENAL CARE GROUP, LLC

Doing Business As: FRESENIUS KIDNEY CARE ASHTABULA DIAYLSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2117 LAKE AVE
ASHTABULA, OH
ZIP 44004
Phone: (440) 992-4689
Get Directions

ASHTABULA RENAL CARE GROUP, LLC is an end-stage renal disease (esrd) treatment clinic center in Ashtabula, OH. ASHTABULA RENAL CARE GROUP, LLC NPI is 1902464506. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Kidney Care Ashtabula Diaylsis.

The provider's business location address is:

2117 LAKE AVE
ASHTABULA, OH
ZIP 44004-435
Phone: (440) 992-4689
Fax: (440) 998-7181

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The enumeration date for this NPI number is 5/30/2019 and was last updated on 10/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

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This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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