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11

This is a chart based on ESRD QIP - Complete QIP Data - Payment Year 2016.

Row numberFacility NameCMS Certification Number (CCN)Alternate CCN 1Address 1Address 2CityStateZip CodeNetworkHemoglobin 12 g/dL Measure ScoreHemoglobin 12 g/dL Performance Period RateHemoglobin 12 g/dL Baseline Period Rate
5701ST JOSEPH DIALYSIS CENTER GIG HARBOR5035104700 POINT FOSDICK DR NW SUITE 101GIG HARBORWA9833516100%0%
5702FRANCISCAN DIALYSIS CENTER EASTSIDE5035111415 E 72ND ST STE DTACOMAWA9840416100%0%
5703ST JOSEPH MEDICAL CENTER SOUTH DIALYSIS5035125825 S TACOMA MALL BLVD STE 103TACOMAWA9840916100%Insufficient data
5704CAMP ORKILA503700484 CAMP ORKILA RDEASTSOUNDWA9824516N/AInsufficient dataInsufficient data
5705BMA - MARTINSBURG512502103 MARCLEY DRMARTINSBURGWV254015100%0%
5706FMS - CHARLESTON5125032345 CHESTERFIELD AVECHARLESTONWV253045100%0%
5707BMA - BECKLEY5125051737 HARPER ROADBECKLEYWV258015100%0%
5708BMA - WELCH512507394 MCDOWELL STWELCHWV248015100%0%
5709FMC - ELKINS512508100 MAIN STREETELKINSWV262415100%0%
5710FMC - OAK HILL512511185 LAUREL CREEK RDFAYETTEVILLEWV258405100%0%
5711WHEELING DIALYSIS CENTER512513500 MEDICAL PARK STE 100WHEELINGWV260035100%0%
5712NEW MARTINSVILLE DIALYSIS FACILITY5125141 E BENJAMIN DRNEW MARTINSVILLEWV261555100%0%
5713FMC - TWO VIRGINIAS5125151113 BLUEFIELD AVEBLUEFIELDWV247015100%0%
5714FMC - MERCER COUNTY512516160 SPRINGHAVEN DRPRINCETONWV247405100%0%
5715FMC - HURRICANE5125173768 TEAYS VALLEY ROADHURRICANEWV255265100%0%
5716DAVITA GREATER CHARLESTON51252024 MACCORKLE AVE SWSOUTH CHARLESTONWV253035100%0%
5717FMC - FAIRMONT51252131 LANDING LANEFAIRMONTWV265545100%0%
5718FMC - CLARKSBURG51252316 STERLING DRBRIDGEPORTWV263305100%0%
5719MOUNTAIN RIDGE DIALYSIS512525229 MERCHANTS WALKSUMMERSVILLEWV266515100%0%
5720FMC - BRUCETON MILLS512527RR 3 BOX 300 CASTEEL ROADBRUCETON MILLSWV265255100%0%
5721FMC - RIPLEY5125291000 NEW STONE RIDGE RDRIPLEYWV252715100%0%
5722POINT PLEASANT DIALYSIS5125303683 OHIO RIVER RDPOINT PLEASANTWV255505100%0%
5723GREATER BOONE DIALYSIS512531300 4TH STREETDANVILLEWV250535100%0%
5724J ROBERT PRITCHARD DIALYSIS CENTER5125321690 MEDICAL CENTER DRHUNTINGTONWV257015100%0%
5725FMC - KANAWHA COUNTY512533951 DUNBAR VILLAGEDUNBARWV250645100%0%
5726FMC - GREENBRIER COUNTY5125341215 MAPLEWOOD AVELEWISBURGWV249015100%0%
5727FMC - RIVER HILLS5125355170 US RTE 60 EASTHUNTINGTONWV257055100%0%
5728FMC - OCEANA5125361777 COOK PARKWAYOCEANAWV248705100%0%
5729RENAL CENTER OF KEYSER, LLC5125371080 NEW CREEK HWYKEYSERWV267265100%0%
5730MOUNTAINEER DIALYSIS5125382958 ROBERT C BYRD DRBECKLEYWV258015100%Insufficient data
5731FMC - APPALACHIAN DIALYSIS512539115 SOLAR DRBECKLEYWV258015100%Insufficient data
5732MAYO CLINIC DIALYSIS - MENOMONIE520003522331407 21ST STMENOMONIEWI5475111100%8%
5733LAKEVIEW MEDICAL CENTER5200115223201700 W STOUT STRICE LAKEWI5486811100%0%
5734SACRED HEART HOSPITAL DIALYSIS520013522327900 W CLAIREMONT AVEEAU CLAIREWI5470111N/AInsufficient data0%
5735WAUPUN REGIONAL DIALYSIS52002552230110 BEAVER DAM STWAUPUNWI5396311100%0%
5736DIVINE SAVIOR HEALTHCARE DIALYSIS5200415223392817 NEW PINERY ROADPORTAGEWI539011107%0%
5737ST NICHOLAS HOSPITAL - DIALYSIS5200445223232925 SAEMANN AVESHEBOYGANWI5308111100%0%
5738MERCY REGIONAL DIALYSIS CENTER520066522329903 MINERAL POINT AVENUEJANESVILLEWI5354811100%0%
5739LUTHER HOSPITAL - MAYO CLINIC DIALYSIS5200705223111221 WHIPPLE STEAU CLAIREWI547021163%8%
5740ST VINCENT HOSPITAL REGIONAL DIALYSIS CTR5200755223121920 LIBAL STGREEN BAYWI5430111100%0%
5741SSM DIALYSIS - MADISON STATION5200835223332840 INDEX ROADMADISONWI5371311100%0%
5742GUNDERSEN LUTHERAN RENAL DIALYSIS - LA CROSSE5200875223131900 SOUTH AVELA CROSSEWI5460111N/AInsufficient dataInsufficient data
5743BELOIT HEALTH SYSTEM - DIALYSIS5201005223241969 W HART RDBELOITWI5351111100%0%
5744HESS MEMORIAL HOSPITAL5201095223281050 DIVISION STMAUSTONWI5394811100%0%
5745ASPIRUS KIDNEY CARE - MEDFORD521324522343135 S GIBSON STMEDFORDWI5445111100%Insufficient data
5746UPLAND HILLS DIALYSIS CTR521352522341800 COMPASSION WAYDODGEVILLEWI5353311100%0%
5747FMC - NEENAH522500300 N COMMERCIAL ST, STE 100NEENAHWI5495611100%0%
5748DAVITA - FOX RIVER5225011910 RIVERSIDE DRGREEN BAYWI5430111100%0%
5749DAVITA - WISCONSIN AVE5225023801 W WISCONSIN AVEMILWAUKEEWI532081102%0%
5750DAVITA - JANESVILLE5225031305 WOODMAN RDJANESVILLEWI5354511100%0%

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makrant makrant

created Mar 29, 2013

updated Jan 14, 2016

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