| Organization Name: | KIDNEY SERVICES OF WEST CENTRAL OHIO LTD |
| NPI Number: | 1467459271 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DORINDA J WEST (ADMINISTRATOR) |
| Mailing Address: | 601 U S State Route 224 Glandorf |
| State: | OH US |
| Postal Code: | 45848 |
| Phone Number: | 4192264420 |
| Fax Number: | 4192264440 |
| NPI Enumeration Date: | 07/07/2005 |
| NPI Last Update Date: | 04/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | 0754DC |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |