Organization · Type 2 NPI

Rancho Dialysis LLC

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

NPI number 1225367873 Active

Practice location

899 E Iron Ave
Dover, OH 44622-2097

Call (330) 364-6309 Map

Fax (330) 364-6490

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	None listed

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

NPI record

NPI: 1225367873
Entity type: Organization (Type 2)
Issued: Dec 10, 2009
Last updated: Oct 14, 2026
Status: Active

Other names

<unavail>
Dover Community Dialysis · doing business as
Dover Community 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 1225367873

Rancho Dialysis LLC's National Provider Identifier is 1225367873, issued on Dec 10, 2009. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Dover, OH. The record was last updated on Oct 14, 2026.