MEDICARE: KIDNEY SERVICES OF WEST CENTRAL OHIO LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	0755DC	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053314435
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIDNEY SERVICES OF WEST CENTRAL OHIO LTD

Provider Business Mailing Address
First Line	:	750 W HIGH ST
Second Line	:	STE 100
City	:	LIMA
State	:	OH
Zip	:	45801-3959
Country	:	US
Telephone Number	:	419-227-0918
Fax Number	:	419-227-0873

Provider Business Practice Location Address
First Line	:	750 W HIGH ST
Second Line	:	STE 100
City	:	LIMA
State	:	OH
Zip	:	45801-3959
Country	:	US
Telephone Number	:	419-227-0918
Fax Number	:	419-227-0873

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. DORINDA J WEST
Credential	:	RN CNN
Telephone Number	:	419-227-0918

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	04/04/2011

Similar Medicare Providers

1841784089 — MS. KRYSTAL DAWN DIETRICH
Practice Location Address:

750 W HIGH ST STE 240
LIMA, OH
45801-3959

Practice Phone: 419-996-5037
Practice Fax: 419-996-5068

1376019364 — KARLA KAY BOROFF CNP
Practice Location Address:

750 W HIGH ST STE 240
LIMA, OH
45801-3959

Practice Phone: 419-996-5037
Practice Fax: 419-996-5068

1083607519 — PRATAP BALUSU MD
Practice Location Address:

750 W HIGH ST , STE 250
LIMA, OH
45801-3959

Practice Phone: 419-227-7399
Practice Fax: 419-229-0123

1235115437 — LIMA PATHOLOGY ASSOCIATES INC
Practice Location Address:

750 W HIGH ST , SUITE 400
LIMA, OH
45801-3959

Practice Phone: 419-226-9224
Practice Fax:

1093795650 — NORMAN OTIS MOSER D.O.
Practice Location Address:

750 W HIGH ST , SUITE 150
LIMA, OH
45801-3959

Practice Phone: 419-227-1359
Practice Fax: 419-227-7586

1235119884 — DAVID LEE IMLER D.O.
Practice Location Address:

750 W HIGH ST , SUITE 150
LIMA, OH
45801-3959

Practice Phone: 419-227-1359
Practice Fax: 419-227-7586

Directions to “KIDNEY SERVICES OF WEST CENTRAL OHIO LTD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.