Provider Demographics
NPI:1417715707
Name:NCM DIALYSIS SERVICES LLC
Entity Type:Organization
Organization Name:NCM DIALYSIS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHARFENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-793-8804
Mailing Address - Street 1:7265 KENWOOD RD STE 300
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-4414
Mailing Address - Country:US
Mailing Address - Phone:513-793-8804
Mailing Address - Fax:513-793-8799
Practice Address - Street 1:1621 S BYRNE RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-3456
Practice Address - Country:US
Practice Address - Phone:419-385-3598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment