Logan Dialysis Center LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

LOGAN DIALYSIS CENTER LLC

Practice address

12900 State Route 664 S
Logan, OH 43138-9261

Phone

(740) 385-6300

Fax

(740) 385-8400

NPI assigned

Dec 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Christopher T Ford

Title

Chairman

Phone

(978) 922-3080

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1407030802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CHERRY HILL DR",
            "address_2": "SUITE 200",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151054",
            "telephone_number": "978-922-3080",
            "fax_number": "978-922-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 STATE ROUTE 664 S",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431389261",
            "telephone_number": "740-385-6300",
            "fax_number": "740-385-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN DIALYSIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "978-922-3080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Robert Leonard, DDS
• Lincare Inc.
• Guyla Lindinger
• Judy May Linn, LPN
• Amy M Little, LPN
• Logan Family Chiropractic & Rehabilitation Center
• Logan Health Care LLC
• Logan Healthcare Leasing, LLC
• Logan-Hocking Local School District
• Melanie Ann Lonas, L.AC.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Logan, OH
• Providers in Logan, OH by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.