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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
301LINCOLN HOSPITAL330080332394234 EAST 149TH STREETHEMODIALYSIS UNITBRONXNY104512N/AInsufficient dataInsufficient data
302NEW YORK & PRESBYTERIAN HOSPITALS, INC.330101332321525 E 68TH STHEMODIALYSIS UNITNEW YORKNY100652N/AInsufficient dataInsufficient data
303MONTEFIORE MEDICAL CENTER - WAKEFIELD HOSPITAL333556600 EAST 233RD STREETHEMODIALYSIS UNITBRONXNY104662100%0%
304SCHNEIDER HOSP ST. THOMAS4800014823009048 SUGAR ESTATEHEMODIALYSIS UNITSAINT THOMASVI008023100%2%
305SANFORD DIALYSIS RED LAKE243534240206RED LAKE HOSPITALHIGHWAY 1RED LAKEMN5667111100%0%
306ATLANTIS HEALTH CARE GROUP (PUERTO RICO), INC.402510917 AVE TITO CASTRO FL 1HOSPITAL SAN LUCAS II BO. MACHUEPONCEPR007313100%0%
307RICHTON DIALYSIS252561507 FRONT STREETHWY 15 NORTHRICHTONMS394768100%0%
308MAUI DIALYSIS FACILITY122510105 MAUI LANI PARKWAYISLAND OF MAUIWAILUKUHI9679317100%0%
309KAHANA DIALYSIS12251510 HOOHUI ROAD SUITE 100ISLAND OF MAUILAHAINAHI9676117100%0%
310DSI - PEARLRIDGE DIALYSIS CENTER12250998-1005 MOANALUA ROAD, SUITE 420ISLAND OF OAHUAIEAHI967011721%0%
311DVA PLAINFIELD DIALYSIS CENTER3125581200 RANDOLPH ROADKENYON HOUSEPLAINFIELDNJ070603100%0%
312TRINITY HOSPITAL - ST JOSEPHS350006352303407 - 3RD STREET SEKIDNEY DIALYSIS, 4TH FLOORMINOTND5870111100%0%
313FMC PHILLIPSBURG DIALYSIS CTR312547471 CENTER STREETKIDNEY TREATMENT CENTERPHILLIPSBURGNJ088653100%0%
314FMC BAYAMON DIALYSIS CENTER402504CARR NUMBER 2KM 11.2BAYAMONPR009613100%0%
315ALBERT EINSTEIN MEDICAL CENTER3901423923385501 OLD YORK ROADLEVY GROUND FLOORPHILADELPHIAPA191414N/AInsufficient data0%
316DAVITA - JACKSONVILLE DIALYSIS1425811515 W WALNUT STLOT 11JACKSONVILLEIL6265010100%0%
317FRESENIUS RIO GRANDE402551LAS FLORES INDUSTRIAL PARKLOTE 6 CARR #3 KM 23.9PALMERPR007213N/AInsufficient dataInsufficient data
318WELLESLEY DIALYSIS222534195 WORCESTER STREETLOWER LEVELWELLESLEYMA024811100%0%
319BAPTIST MEDICAL CENTER - PEDIATRIC DIALYSIS100088102330800 PRUDENTIAL DRM2WESTJACKSONVILLEFL322077N/AInsufficient dataInsufficient data
320ALBANY MEDICAL CENTER33001333230643 NEW SCOTLAND AVENUEMAIL CODE: 73 PEDS DIALYSISALBANYNY122082N/AInsufficient dataInsufficient data
321CHILDRENS HOSPITAL CENTRAL CALIFORNIA0533000524009300 VALLEY CHILDRENS PLACEMAIL STOP SE 13MADERACA9363617N/AInsufficient dataInsufficient data
322DCI MEDICAL CENTER4425641600 HAYES ST.MAIN FLOORNASHVILLETN372038100%3%
323DEVOS CHILDRENS HOSP - DIALYSIS UNIT230038232345100 MICHIGAN ST NEMC 83GRAND RAPIDSMI4950311N/AInsufficient dataInsufficient data
324MEDICAL MALL DIALYSIS253503350 W. WOODROW WILSONMD-224JACKSONMS392138100%0%
325EA ORANGE GEN HOSPITAL310083312314310 CENTRAL AVENUEMEDICAL ARTS BUILDING - DIALYSISEAST ORANGENJ070173100%1%
326FRESENIUS MEDICAL CARE EPISCOPAL392568100 E. LEHIGH AVE.MEDICAL ARTS BUILDING, SUITE L-7PHILADELPHIAPA191254100%0%
327WFU BAPTIST MEDICAL CENTER DIALYSIS UNIT3400473423048 N HEMODIALYSISMEDICAL CENTER BLVDWINSTON SALEMNC271576N/AInsufficient dataInsufficient data
328WEST VIRGINIA UNIVERSITY HOSPITALS INC510001512300RENAL DIALYSIS CENTERMEDICAL CENTER DR BOX 8043MORGANTOWNWV265085N/AInsufficient dataInsufficient data
329DCI SUMMIT4425945653 FRIST BLVDMEDICAL OFFICE BLDG II SUITE 334HERMITAGETN37076804%0%
330UNIVERSITY OF IOWA HOSPITAL & CLINICS - NORTH LIBERTY1635095 LIONS DRIVEN LIBERTY OUTREACH DIALYSIS UNITNORTH LIBERTYIA5231712100%0%
331GREATER TAMPA AT HOME1028854204 N. MAC DILL AVENORTH BLDG. SUITE 1TAMPAFL336077100%0%
332DAVITA PHYSICIANS DIALYSIS NORTH HOUSTON4528757115 NORTH LOOP EASTNORTH PORT #2HOUSTONTX7702814100%1%
333UPLAND DIALYSIS CENTER392508PROFESSIONAL OFFICE BUILDING 2, SUITE 120ONE MEDICAL CENTER BLVDUPLANDPA190134100%0%
334FRESENIUS MEDICAL CARE LATROBE392561121 WEST 2ND STREETONE MELLON WAYLATROBEPA156504100%0%
335DAVITA - UPPER VALLEY KIDNEY CENTER3627963190 NORTH COUNTY RD. 25 AOUTPATIENT DIALYSIS CENTERTROYOH453739100%0%
336WEST UNION DIALYSIS CENTER162526405 HIGHWAY 150 NP O BOX 516WEST UNIONIA5217512100%0%
337SALEM MEMORIAL HOSPITAL260172262315HWY 72 NORTHP. O. BOX 774SALEMMO6556012100%0%
338PUTNAM CTY AMBULATORY CARE CTR-DIALYSIS362674601 STATE RT 224P.O. BOX 100GLANDORFOH458489100%0%
339MARTHA'S VINEYARD HOSPITAL220123222318DIALYSIS UNIT - 1 HOSPITAL ROADP.O. BOX 1477OAK BLUFFSMA025571N/AInsufficient dataInsufficient data
340RCG MAYERSVILLE25255520019 HWY 61 SOUTHP.O. BOX 9ROLLING FORKMS391598100%0%
341DAVITA OAK PARK DIALYSIS23261313481 W 10 MILE RDPARKSWOODS PLAZAOAK PARKMI4823711100%0%
342CAROLINAS MEDICAL CENTER DIALYSIS UNIT3401133423061000 BLYTHE BLVDPEDIATRIC DIALYSIS UNITCHARLOTTENC282326N/AInsufficient dataInsufficient data
343JOHNS HOPKINS OUTPATIENT CARE (JHOC)210009212301DAVID RUBENSTEIN CHILDREN'S HEALTH BUILDINGPEDIATRIC NEPH 200 N WOLFEBALTIMOREMD212875N/AInsufficient dataInsufficient data
344RAI - SILVER HILL2125365652 SILVER HILL RDPENN STATION SHOPPING CTRDISTRICT HEIGHTSMD207475100%0%
345NEW HAMPSHIRE KIDNEY CENTER (FMC)302500248 PLEASANT STREETPILLSBURY BLDG., G400CONCORDNH03301102%0%
346RCG WHITING DIALYSIS CTR312582400-430 ROUTE 530PINEWALD-KESWICK ROADWHITINGNJ08759321%0%
347FMC HUMACAO DIALYSIS CENTER402514ROAD 3 KM 73.8PLAZA BOULEVARD SHOPPING CENTERHUMACAOPR007923100%1%
348PRAIRIE LAKES HEALTHCARE SYSTEM430005432300401 - 9TH AVE NWPO BOX 1210WATERTOWNSD5720111100%0%
349DAVITA - NORTHERN STAR DIALYSIS522586311 ELM STPO BOX 1487WOODRUFFWI5456811100%0%
350032506 TUBA CITY DIALYSIS UNIT (DVA)032506500 EDGEWATER DRIVEPO BOX 2910TUBA CITYAZ860451551%2%

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makrant makrant

created Mar 29, 2013

updated Aug 29, 2016

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