CLARK COUNTY DIALYSIS FACILITY, INC. – NPI #1598711137
Clinic/Center

CLARK COUNTY DIALYSIS FACILITY, INC. is an AHC clinic located in SPRINGFIELD, OH. NPPES has assigned the NPI number 1598711137 to CLARK COUNTY DIALYSIS FACILITY, INC. on May 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CLARK COUNTY DIALYSIS FACILITY, INC. is also known by the name CCDF. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLARK COUNTY DIALYSIS FACILITY, INC. below.

NPI Profile for
CLARK COUNTY DIALYSIS FACILITY, INC.

NPI Number
1598711137
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLARK COUNTY DIALYSIS FACILITY, INC.
Other Name: CCDF
Primary location
247 S BURNETT RD
SUITE 110
SPRINGFIELD, OH 45505-2639
Phone: (937) 328-8921 Fax: (937) 328-8784
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEFFREY SPIERS
ADMINISTRATOR
Phone: (937) 328-8933
Updated
Identifiers

Identifiers for CLARK COUNTY DIALYSIS FACILITY, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH0545066
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)		 OH 192

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.