Organization · Type 2 NPI

Columbus Rna Davita LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Columbus, OH

NPI number 1073787248 Active

Practice location

226 Graceland Blvd, Ste 3-09A
Columbus, OH 43214-1532

Call (614) 985-1732 Map

Fax (614) 781-0906

Mailing address

5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	0556DC (OH)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1073787248
Entity type: Organization (Type 2)
Issued: Apr 17, 2008
Last updated: May 13, 2024
Status: Active

Other names

<unavail>
Columbus Dialysis · doing business as
Columbus Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073787248

Columbus Rna Davita LLC's National Provider Identifier is 1073787248, issued on Apr 17, 2008. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Columbus, OH. The record was last updated on May 13, 2024.