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

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1417550476

Targhee Dialysis, LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Cincinnati, Ohio. Medicare rates this dialysis facility 2 out of 5. Registered with an NPI since 2020.

CMS rating
2 of 5
In the registry since
2020
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

2 out of 5 — official dialysis facility rating from CMS Care Compare (CCN 362898)

Practice location Address checks out

1550 Goodman Ave
Cincinnati, OH 45224-1005
Phone: (513) 538-3768
Fax: (513) 538-3769
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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 number1417550476
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDavita Inc
Authorized official Samuel Wey — Vp Licensure & Certification · (615) 341-6641
Other names College Hill Dialysis
NPI enumeratedNovember 20, 2020
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address5200 Virginia Way, Attn L&C Dept, Brentwood, TN 37027-7569

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