COLUMBUS RNA DAVITA LLC


Address: 226 Graceland Blvd, Ste 3-09a, Columbus, OH 43214-1532
Phone: 6149851732

COLUMBUS RNA DAVITA LLC (NPI# 1073787248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073787248
Entity Type Organization
Organization Name COLUMBUS RNA DAVITA LLC
Other Organization Name COLUMBUS DIALYSIS
Practice Address 226 Graceland Blvd
Ste 3-09a
Columbus
OH 43214-1532
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 6149851732
Practice Fax Number 6147810906
Mailing Telephone 6152383051
Mailing Fax Number 8002468346
Enumeration Date 2008-04-17
Last Update Date 2019-09-25
Authorized Official Name JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
0556DC OH Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OH 2908241 05

Other Provider/Organization Names

Other Name Type Code
Columbus Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1952575128 Columbus Rna Davita LLC Clinic/Center 299 Outerbelt St, Columbus, OH 43213-1529 2008-04-17
1528232790 Columbus Rna Davita LLC Clinic/Center 415 E Mound St, Columbus, OH 43215-5532 2008-04-17

Office Location

Street Address 226 GRACELAND BLVD
STE 3-09A
City COLUMBUS
State OH
Zip Code 43214-1532

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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1265963417 Dialysis Clinic Inc Clinic/Center 5990 Warm Springs Rd, Columbus, GA 31909-4310 2017-03-21
1760926257 Bio-medical Applications of Ohio, Inc. Clinic/Center 758 Communications Parkway, Columbus, OH 43214-1948 2016-12-19
1366809857 Kidney Center of Whitehall LLC Clinic/Center 6038 E Main St, Columbus, OH 43213-3357 2016-01-28
1912371212 Columbus Med Partners, LLC Clinic/Center 4500 W. Broad Street, Columbus, OH 43228-1623 2015-11-24
1861894768 Rcg Mississippi, Inc. Clinic/Center 3499 Bluecutt Rd, Columbus, MS 39705-1346 2014-09-23
1437586153 Rcg Mississippi, Inc. Clinic/Center 139 N Brookmoore Dr, Columbus, MS 39705-2024 2013-09-27
1689008740 Heavener Dialysis LLC Clinic/Center 2401 Shelby St, Columbus, GA 31903-0000 2013-08-26
1710226915 Goldendale Dialysis LLC Clinic/Center 1200 Brookstone Centre Pkwy Ste 111, Columbus, GA 31904-2934 2013-02-07
1518146679 Total Renal Care Inc Clinic/Center 1391 Georgesville Rd, Columbus, OH 43228-3611 2007-10-25
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Competitor

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City COLUMBUS
Zip Code 43214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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