MEDICARE: LIBERTY DIALYSIS-CHIPPEWA LLC

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

General Provider Information

NPI Number	:	1427084953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIBERTY DIALYSIS-CHIPPEWA LLC

Provider Business Mailing Address
First Line	:	100 PAPPAN BUSINESS DR
Second Line	:
City	:	BEAVER FALLS
State	:	PA
Zip	:	15010-1261
Country	:	US
Telephone Number	:	724-846-5030
Fax Number	:	724-846-5036

Provider Business Practice Location Address
First Line	:	100 PAPPAN BUSINESS DR
Second Line	:
City	:	BEAVER FALLS
State	:	PA
Zip	:	15010-1261
Country	:	US
Telephone Number	:	724-846-5030
Fax Number	:	724-846-5036

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	BARRY L. BLANTON
Credential	:
Telephone Number	:	781-699-9000

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	10/17/2023

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1518394055 — AL CHIPPEWA OPERATIONS, LLC
Practice Location Address:

104 PAPPAN BUSINESS DR
BEAVER FALLS, PA
15010-1261

Practice Phone: 724-891-3333
Practice Fax: 724-891-3338

1366449522 — JAMES DUC M.D.
Practice Location Address:

2901 TELESTAR CT STE 100
FALLS CHURCH, VA
22042-1261

Practice Phone: 703-208-9797
Practice Fax: 703-591-0829

1508868985 — ROBERT L. MCSWAIN M.D.
Practice Location Address:

2901 TELESTAR CT STE 100
FALLS CHURCH, VA
22042-1261

Practice Phone: 703-208-9797
Practice Fax: 703-591-0829

1821074188 — HAROON RASHID M.D.
Practice Location Address:

2901 TELESTAR CT STE 100
FALLS CHURCH, VA
22042-1261

Practice Phone: 703-208-9797
Practice Fax: 703-591-0829

1083662902 — DR. DANIEL J CHACHKO DC
Practice Location Address:

119 RIDGE RD , SUITE B
NEWTON FALLS, OH
44444-1261

Practice Phone: 330-872-1500
Practice Fax: 330-872-1466

Directions to “LIBERTY DIALYSIS-CHIPPEWA LLC ” 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.