DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KIDNEY CARE CENTERS OF COSHOCTON OHIO LLC

MEDICARE: KIDNEY CARE CENTERS OF COSHOCTON OHIO 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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number : 1053679423
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIDNEY CARE CENTERS OF COSHOCTON OHIO LLC
Provider Business Mailing Address
First Line : 23649 AIRPORT RD
Second Line :
City : COSHOCTON
State : OH
Zip : 43812-9262
Country : US
Telephone Number : 740-291-8030
Fax Number : 740-291-8034
Provider Business Practice Location Address
First Line : 23649 AIRPORT RD
Second Line :
City : COSHOCTON
State : OH
Zip : 43812-9262
Country : US
Telephone Number : 740-291-8030
Fax Number : 740-291-8034
Authorized Official
Title or Position : CHIEF NURSING OFFICER
Name : SARA ANNE BRADY
Credential :
Telephone Number : 208-371-7878
Provider Enumeration Date : 04/24/2012
Last Update Date : 06/08/2026

Similar Medicare Providers

1821015017 — WAL-MART STORES EAST LP
Practice Location Address:
23605 AIRPORT RD
COSHOCTON, OH
43812-9262
Practice Phone: 740-622-1292
Practice Fax:
1780695759 — WAL-MART STORES EAST, LP
Practice Location Address:
23605 AIRPORT RD
COSHOCTON, OH
43812-9262
Practice Phone: 740-622-1278
Practice Fax:
1902919558 — DR. BARBARA STEWART NEWMAN O.D.
Practice Location Address:
23605 AIRPORT RD
COSHOCTON, OH
43812-9262
Practice Phone: 740-622-6151
Practice Fax: 740-622-6205
1598365900 — PAUL WILLIAM SIMMONS
Practice Location Address:
23605 AIRPORT RD
COSHOCTON, OH
43812-9262
Practice Phone: 740-622-1292
Practice Fax:
1295336600 — SHAWN READ RPH
Practice Location Address:
23605 AIRPORT RD
COSHOCTON, OH
43812-9262
Practice Phone: 740-622-1292
Practice Fax:
1245831940 — DR. ERICA FAYE HUFFER PHARMD, RPH
Practice Location Address:
23605 AIRPORT RD
COSHOCTON, OH
43812-9262
Practice Phone: 740-622-1292
Practice Fax:

Directions to “KIDNEY CARE CENTERS OF COSHOCTON OHIO 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.