HOME DIALYSIS OF EASTGATE, INC.


Address: 4578 E Tech Dr, Cincinnati, OH 45245-1057
Phone: 5136881930

HOME DIALYSIS OF EASTGATE, INC. (NPI# 1376658112) 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) 1376658112
Entity Type Organization
Organization Name HOME DIALYSIS OF EASTGATE, INC.
Other Organization Name HOME DIALYSIS OF EASTGATE
Practice Address 4578 E Tech Dr
Cincinnati
OH 45245-1057
Practice Telephone 5136881930
Enumeration Date 2006-08-20
Last Update Date 2008-05-29
Authorized Official Name MARK FAWCETT (TREASURER)
Authorized Official Telephone 7816999000
Is Organization Subpart Y
Parent Organization Name FRESENIUS MEDICAL CARE HOLDINGS, INC.

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
HOME DIALYSIS OF EASTGATE Doing Business As Name - Organization

Office Location

Street Address 4578 E TECH DR
City CINCINNATI
State OH
Zip Code 45245-1057

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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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Competitor

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City CINCINNATI
Zip Code 45245

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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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