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NPI Code Detail

MEDICARE: KIDNEY CARE CENTERS OF CAMBRIDGE OHIO LLC

MEDICARE: KIDNEY CARE CENTERS OF CAMBRIDGE 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 : 1518229277
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIDNEY CARE CENTERS OF CAMBRIDGE OHIO LLC
Provider Business Mailing Address
First Line : 6901 GLENN HWY
Second Line : SUITE A
City : CAMBRIDGE
State : OH
Zip : 43725-8685
Country : US
Telephone Number : 740-439-1431
Fax Number : 740-439-1434
Provider Business Practice Location Address
First Line : 6901 GLENN HWY
Second Line : SUITE A
City : CAMBRIDGE
State : OH
Zip : 43725-8685
Country : US
Telephone Number : 740-439-1431
Fax Number : 740-439-1434
Authorized Official
Title or Position : CHIEF NURSING OFFICER
Name : SARA ANNE BRADY
Credential :
Telephone Number : 208-371-7878
Provider Enumeration Date : 06/08/2012
Last Update Date : 06/08/2026

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Directions to “KIDNEY CARE CENTERS OF CAMBRIDGE OHIO LLC ” Practice Location

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