Provider Demographics
NPI:1427489111
Name:NXSTAGE CINCINNATI LLC
Entity type:Organization
Organization Name:NXSTAGE CINCINNATI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-687-4700
Mailing Address - Street 1:350 MERRIMACK ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-1748
Mailing Address - Country:US
Mailing Address - Phone:978-530-4006
Mailing Address - Fax:
Practice Address - Street 1:12065 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-1728
Practice Address - Country:US
Practice Address - Phone:978-530-4006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NXSTAGE KIDNEY CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-05
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment