Jackson Dialysis and Kidney Center

NPI #1962696047 in Jackson, Ohio

Provider Information

NPI Number: 1962696047
Entity Type: Organization
Organization Name: Jackson Dialysis and Kidney Center
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Aug 31, 2007
Last Updated: Aug 31, 2007

Practice Location

Address: 500 MCCARTY LN
City: Jackson
State: Ohio
ZIP Code: 45640
Phone: (740) 286-1600

Authorized Official

Name: MANISH JAIN
Title: BUSINESS MANAGER
Phone: (606) 836-0202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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