Kidney Services of West Central Ohio LTD

Primary specialty

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

License

0754DC Issued in OH

Legal business name

KIDNEY SERVICES OF WEST CENTRAL OHIO LTD

Practice address

601 U S State Route 224
Glandorf, OH 45848

Phone

(419) 226-4420

Fax

(419) 226-4440

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Dorinda J West, RN

Title

Administrator

Phone

(419) 227-0918

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mercy Health-St Ritas Medical Center LLC

  • Home Infusion Therapy Pharmacy
  • Lima, OH
  • NPI 1851339832

  Member Of

  NPD member

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1467459271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ST ROUTE 224",
            "address_2": "PO BOX 100",
            "city": "GLANDORF",
            "state": "OH",
            "postal_code": "45848",
            "telephone_number": "419-226-4420",
            "fax_number": "419-226-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 U S STATE ROUTE 224",
            "city": "GLANDORF",
            "state": "OH",
            "postal_code": "45848",
            "telephone_number": "419-226-4420",
            "fax_number": "419-226-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY SERVICES OF WEST CENTRAL OHIO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "DORINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "419-227-0918",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "OH",
            "license": "0754DC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2555668",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Geiger, LPCC, LICDC
• Glandorf Vision Group Inc.
• Trina M Hagemyer, M.A., PC, CR
• Corrine Marie Halker
• Abigail Hilvers, OD
• Klass Apothecary Inc
• Mandy A Klass, M.D.
• Zachary A Klausing, D.C.
• Darla E Lammers, D.C.
• Lima Emergency Physicians Inc

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Glandorf, OH
• Providers in Glandorf, 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 Apr 4, 2011; 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.