Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bullock Dialysis LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1639715808

Bullock Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Cincinnati, Ohio. Medicare rates this dialysis facility 1 out of 5. Registered with an NPI since 2019.

CMS rating
1 of 5
In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

1 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 362894)

Practice location Address checks out

2290 Ferguson Rd
Cincinnati, OH 45238
Phone: (513) 347-3626
Fax: (513) 347-2680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1639715808
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDavita Inc
Authorized official Samuel Wey — Vp Licensure & Certification · (615) 341-6641
Other names Queen City Dialysis; Queen City Dialysis
NPI enumeratedNovember 22, 2019
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025
Mailing address5200 Virginia Way, Att: L&C Dept, Brentwood, TN 37027-7569

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