Organization · Type 2 NPI

Powerton Dialysis LLC

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

NPI number 1104248574 Active

Practice location

2900 Carskaddon Ave
Toledo, OH 43606-1601

Call (419) 531-0755 Map

Fax (419) 531-0957

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	1090DC (OH)

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

Another provider at this address

Addiction Wellness Center Oh LLCMental Health Clinic/Center (Including Community Mental Health Center) Toledo, OH NPI 1275235103

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NPI record

NPI: 1104248574
Entity type: Organization (Type 2)
Issued: Jan 20, 2014
Last updated: Jun 16, 2021
Status: Active

Other names

<unavail>
West Toledo Dialysis · doing business as
West Toledo Dialysis · doing business as

Authorized official

John Winstel
Chief Accounting Officer
(253) 733-4501

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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 1104248574

Powerton Dialysis LLC's National Provider Identifier is 1104248574, issued on Jan 20, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Toledo, OH. The record was last updated on Jun 16, 2021.