Provider Demographics
NPI:1659486405
Name:OHIO RENAL CARE GROUP, LLC
Entity Type:Organization
Organization Name:OHIO RENAL CARE GROUP, LLC
Other - Org Name:FRESENIUS KIDNEY CARE NORTH RANDALL
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 1:5035 RICHMOND RD STE A
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-1328
Mailing Address - Country:US
Mailing Address - Phone:216-591-1364
Mailing Address - Fax:216-591-9132
Practice Address - Street 1:5035 RICHMOND RD STE A
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-1328
Practice Address - Country:US
Practice Address - Phone:216-591-1364
Practice Address - Fax:216-591-9132
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-20
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
362590Medicare ID - Type Unspecified