Champion Dialysis Center Llc

LBN: Champion Dialysis Center Llc
Champion Dialysis Center Llc is an health care organization with primary practice located at 4554 Mahoning Ave Nw , Warren OH 44483-1437. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Champion Dialysis Center Llc can be contacted via phone (330) 847-0189, or through Brady, Sara Anne via phone (208) 371-7878.

Contact Information

Primary practice address
4554 Mahoning Ave Nw Warren OH 44483-1437
Phone: (330) 847-0189
Fax: (330) 847-0194
Website:
Map and Directions
Authorized official contact:
Name: Brady, Sara Anne
Phone: (208) 371-7878

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1063753358
LBN Legal business name Champion Dialysis Center Llc
DBA Doing business as
Authorized official Brady, Sara Anne
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2013
Last updated Jan 13th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063753358 NPPES
Ohio MEDICAID 0105624

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