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NPI Code Detail

MEDICARE: HOOD DIALYSIS SERVICES, LLC

MEDICARE: HOOD DIALYSIS SERVICES, 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/CenterOHL40061OH

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 : 1669577763
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOOD DIALYSIS SERVICES, LLC
Provider Business Mailing Address
First Line : 685 N JAMES RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-1837
Country : US
Telephone Number : 614-235-5361
Fax Number :
Provider Business Practice Location Address
First Line : 2360 CITYGATE DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-3652
Country : US
Telephone Number : 614-235-5361
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : MELVA HAWKINS
Credential :
Telephone Number : 614-235-5361
Provider Enumeration Date : 09/13/2006
Last Update Date : 08/22/2020

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Directions to “HOOD DIALYSIS SERVICES, LLC ” Practice Location

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