Organization · Type 2 NPI
Targhee Dialysis, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Cincinnati, OH
NPI number
1417550476
Active
Practice location
1550 Goodman Ave
Cincinnati, OH 45224-1005
Fax (513) 538-3769
Mailing address
5200 Virginia Way, Attn 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...
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About NPI 1417550476
Targhee Dialysis, LLC's National Provider Identifier is 1417550476, issued on Nov 20, 2020. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Cincinnati, OH. The record was last updated on Jun 12, 2025.