Provider Demographics
NPI:1609207372
Name:NXSTAGE COLUMBUS, LLC
Entity Type:Organization
Organization Name:NXSTAGE COLUMBUS, LLC
Other - Org Name:NXSTAGE KIDNEY CARE COLUMBUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:5665 WOERNER TEMPLE RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-7188
Mailing Address - Country:US
Mailing Address - Phone:614-915-3040
Mailing Address - Fax:614-943-6500
Practice Address - Street 1:5665 WOERNER TEMPLE RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-7188
Practice Address - Country:US
Practice Address - Phone:614-915-3040
Practice Address - Fax:614-943-6500
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-06
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment