Active NPI
Cherry Valley Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Newark, OH
National Provider Identifier
1194970699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- CHERRY VALLEY DIALYSIS LLC
- Practice address
- 1627 W Main St
Newark, OH 43055-1345 - Phone
- (740) 522-1699
- Fax
- (740) 522-1555
- NPI assigned
- Nov 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jim Hilger
- Title
- Vice President
- Phone
- (253) 382-1919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1627 W Main St
Newark, OH 43055-1345
Mailing address
5200 Virginia Way
Ste 400 L&C
Brentwood, TN 37027-7569
Phone (615) 320-4521
Other names 1
- Cherry Valley Dialysis
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Burlington, WA
- NPI 1932595584
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256515200000",
"number": "1194970699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "STE 400 L&C",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569",
"telephone_number": "615-320-4521",
"fax_number": "866-594-2894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1627 W MAIN ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551345",
"telephone_number": "740-522-1699",
"fax_number": "740-522-1555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHERRY VALLEY DIALYSIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-25",
"last_updated": "2009-10-26",
"status": "A",
"authorized_official_last_name": "HILGER",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "253-382-1919"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cherry Valley Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.