Jackson Dialysis and Kidney Center

Primary specialty

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

Legal business name

JACKSON DIALYSIS AND KIDNEY CENTER

Practice address

500 McCarty LN
Jackson, OH 45640

Phone

(740) 286-1600

Fax

(740) 286-1615

NPI assigned

Aug 31, 2007

Organization subpart

No

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

Authorized official

Name

Manish Jain

Title

Business Manager

Phone

(606) 836-0202

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1962696047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SAINT CHRISTOPHER DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MCCARTY LN",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "45640",
            "telephone_number": "740-286-1600",
            "fax_number": "740-286-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON DIALYSIS AND KIDNEY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "606-836-0202"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ironton Physical Therapy Inc
• Payton Jade, Entler Israel
• Jackson Chiropractic Clinic, Inc.
• Jackson City School District
• Jackson County Board on Aging, Inc.
• Jackson Family Practice LLC
• Jackson Foot and Ankle Clinic
• Jackson Health Partners LLC
• Jackson Healthcare LLC
• Jackson Urgent Care

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jackson, OH
• Providers in Jackson, 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 Aug 31, 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.