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Everest Healthcare Ohio, INC.

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Cincinnati, OH. Organization (NPI-2).

NPI number1649385485
StatusActive
Last updated in NPPESNov 17, 2009

Details

NPI
1649385485
Entity type
Organization (NPI-2)
Legal business name
Everest Healthcare Ohio, INC.
Organization subpart
Yes
Enumeration date
Aug 20, 2006
Last updated
Nov 17, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment––Yes

Other names

  • Dialysis Specialists Of Ctr Cincinnati (Doing Business As)

Practice location

4600 Wesley Ave
Ste A & B
Cincinnati, OH 45212-2298

Phone 513-631-2220 · Fax 513-631-2232

Mailing address

4600 Wesley Ave
Ste A & B
Cincinnati, OH 45212-2298

Phone 513-631-2220 · Fax 513-631-2232

Authorized official

Mark Fawcett
Treasurer
7816999000

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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