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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
401FMC - RIPON SOUTH52254737 STONEY RIDGE RDSTE 100RIPONWI5497111100%0%
402BESSEMER DIALYSIS012583901 WESTLAKE MALLSTE 101BESSEMERAL350208100%0%
403ORANGE DIALYSIS CENTER332707100 CRYSTAL RUN ROADSTE 102MIDDLETOWNNY109412100%Insufficient data
404BMA - MORGANTOWN51250611 COMMERCE DRSTE 102MORGANTOWNWV265015100%0%
405FMC - SOUTHTOWN DIALYSIS2425757901 XERXES AVE SSTE 103BLOOMINGTONMN5543111100%0%
406EUFULA DIALYSIS, LLC312643680 BROADWAYSTE 103PATERSONNJ075143N/AInsufficient dataInsufficient data
407FRANCONIA DIALYSIS CENTER4926235695 KING CENTER DRSTE 105ALEXANDRIAVA223155100%0%
408UVA AUGUSTA DIALYSIS49350970 MEDICAL CENTER CIRCLESTE 105FISHERSVILLEVA229395100%0%
409TOTAL RENAL CARE INC212673602 S ATWOOD RDSTE 106BEL AIRMD210145N/AInsufficient dataInsufficient data
410DIALYSIS CENTER OF LINCOLN NORTHWEST2825134911 NORTH 26TH STREETSTE 106LINCOLNNE6852112100%0%
411OZARKS DIALYSIS SERVICES - SOUTH2635083525 S NATIONALSTE 108SPRINGFIELDMO6580712100%0%
412FAIRFAX DIALYSIS CENTER4925048316 ARLINGTON BLVDSTE 108FAIRFAXVA220315100%0%
413BMA - BETHESDA2125036420 ROCKLEDGE DRSTE 1100BETHESDAMD208175100%0%
414DAVITA - CATONSVILLE2125281581 SULPHUR SPRING RDSTE 112BALTIMOREMD212275100%0%
415IDF - ARUNDEL CENTER212544804 LANDMARK DRIVESTE 112GLEN BURNIEMD210615100%0%
416GAINESVILLE DIALYSIS1126932545 FLINTRIDGE ROADSTE 130GAINESVILLEGA305016100%0%
417FMC - WEST ST PAUL DIALYSIS2425771590 S ROBERT STSTE 130WEST ST PAULMN5511811100%0%
418BMA - COLUMBIA HEIGHTS092503106 IRVING ST NWSTE 1400WASHINGTONDC200105100%0%
419KNICKERBOCKER DIALYSIS, INC.3325974041 DELAWARE AVENUESTE 150TONAWANDANY141502100%0%
420FMC - HERITAGE HUNT4926557001 HERITAGE VILLAGE PLAZASTE 150GAINESVILLEVA201555100%0%
421WEST VIRGINIA DIALYSIS512518300 PROSPERITY LNSTE 150LOGANWV256015100%0%
422NEWPORT SUPERIOR DIALYSIS552755510 SUPERIOR AVESTE 150NEWPORT BEACHCA9266318N/AInsufficient dataInsufficient data
423RAI CARE CENTERS - WINTER HAVEN102659400 SECURITY SQUARESTE 170WINTER HAVENFL338807100%0%
424KIDNEY CARE OF LARGO2125301300 MERCANTILE LNSTE 194LARGOMD207745100%0%
425FMC OPELIKA0125152609 VILLAGE PROFESSIONAL DRSTE 2OPELIKAAL368018100%0%
426RAI CARE CENTER HIGH ST262613828 E HIGH STSTE 2POTOSIMO636641206%0%
427DAVITA MILLBURN DIALYSIS31264525 EAST WILLOW STREETSTE 2MILLBURNNJ070413N/AInsufficient dataInsufficient data
428MACOMB REGIONAL DIALYSIS CENTER23264216151 19 MILE RDSTE 200CLINTON TOWNSHIPMI4803811100%0%
429NASHVILLE HOME TRAINING DIALYSIS4426991919 CHARLOTTE AVESTE 200NASHVILLETN372038N/AInsufficient dataInsufficient data
430LAKE ST LOUIS DIALYSIS262541200 BREVCO PLAZASTE 202LAKE SAINT LOUISMO6336712100%0%
431DAVITA - K STREET DIALYSIS0925182131 K STREET NWSTE 300WASHINGTONDC200375100%0%
432DAVITA DIALYSIS - MERCY212542315 N CALVERT STSTE 300BALTIMOREMD212025100%0%
433GUNDERSEN LUTHERAN RENAL DIALYSIS - VIROQUA523517407 S MAIN STSTE 300VIROQUAWI5466511100%0%
434DAVITA - BERLIN DIALYSIS212520314 FRANKLIN AVESTE 306BERLINMD218115100%2%
435US RENAL CARE TARRANT DIALYSIS KELLER6727434420 HERITAGE TRACE PKWYSTE 312FORT WORTHTX7624414N/AInsufficient dataInsufficient data
436FMC - MAPLEWOOD HEIGHTS2425702017 WOODLYN AVESTE 32MAPLEWOODMN5510911100%0%
437SOUTHSIDE REGIONAL MEDICAL CENTER4900674923073335 S CRATER RDSTE 400PETERSBURGVA238055100%0%
438DOWNTOWN DIALYSIS CENTER212522821 N EUTAW STSTE 401BALTIMOREMD212015100%0%
439KIDNEY TREATMENT CENTER452615803 CASTROVILLESTE 401SAN ANTONIOTX7823714100%0%
440RENAL CARE GROUP - WICHITA WEST172540750 N SOCORASTE 500WICHITAKS6721212100%4%
441CENTRACARE KIDNEY PROGRAM - LITCHFIELD243536520 US HIGHWAY 12 ESTE 6LITCHFIELDMN5535511100%Insufficient data
442RAI - THIMBLE SHOALS-NEWPORT NEWS492552739 THIMBLE SHOALS BLVDSTE 600NEWPORT NEWSVA236065100%0%
443RUSH-UNIVERSITY-ST LUKES MED CTR1401191423121750 W HARRISON PEDS UNITSTE 735 KELLOGGCHICAGOIL6061210N/AInsufficient dataInsufficient data
444FRESENIUS MEDICAL CARE FRANKLIN COUNTY HOME DIALYSIS34266860 WHEATON AVESTE 78YOUNGSVILLENC275966N/AInsufficient dataInsufficient data
445DAVITA - HIOAKS DIALYSIS492556671 HIOAKS RDSTE ARICHMONDVA232255100%0%
446DAVITA - MARTINSVILLE DIALYSIS49256033 BRIDGE STSTE AMARTINSVILLEVA241125100%0%
447FMC - MONTGOMERY492595106 SOUTHPARK DR SWSTE ABLACKSBURGVA240605100%0%
448TOTAL RENAL CARE - LITTLE CREEK DIALYSIS4926651817 E LITTLE CREEK RDSTE ANORFOLKVA235185100%0%
449FMC - GREATER BALTIMORE2125311840 YORK RDSTE A1LUTHERVILLEMD210935100%0%
450ATLANTIC DIALYSIS1625201500 E 10TH STREETSTE BATLANTICIA5002212N/AInsufficient dataInsufficient data

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makrant makrant

created Mar 29, 2013

updated Jan 14, 2016

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