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ESRD QIP - Anemia - Payment Year 2015

Row numberFacility NameCMS Certification NumberAlternate CCN 1Alternate CCN 2Alternate CCN 3Address 1Address 2CityStateZip CodeNetworkHemoglobin gt 12 g/dL Performance RateHemoglobin gt 12 g/dL Measure ScoreNational Avg Hemoglobin gt 12 g/dL Measure Score
5601FMC - SHAWANO5225821509 SOUTH LINCOLN STREETSHAWANOWI54166110%1010
5602DAVITA - HARBOR VIEW DIALYSIS522583818 6TH STREETRACINEWI53403110%1010
5603DAVITA - WILLOW CREEK DIALYSIS5225841139 WARWICK WAYRACINEWI53406110%1010
5604DAVITA - PRAIRIE RIVER DIALYSIS522585503 SOUTH CENTER AVENUEMERRILLWI54452110%1010
5605DAVITA - NORTHERN STAR DIALYSIS522586311 ELM STREETPO BOX 1487WOODRUFFWI54568110%1010
5606DAVITA - STEVENS POINT DIALYSIS5225871100 MERIDIAN DRIVEPLOVERWI54467110%1010
5607DAVITA - MARSHFIELD DIALYSIS522588123 NORTHRIDGE STREETMARSHFIELDWI54449110%1010
5608DAVITA - WISCONSIN RAPIDS DIALYSIS5225891041 B HILL STREETWISCONSIN RAPIDSWI54494110%1010
5609DAVITA - MEADOW LANE DIALYSIS5225901120 PINE STREETSTANLEYWI5476811N/A10
5610DAVITA - RHINELANDER DIALYSIS5225911306 LINCOLN STREETRHINELANDERWI54501110%1010
5611DAVITA - WAUPACA DIALYSIS522592910 FURMAN DRIVEWAUPACAWI5498111N/A10
5612DAVITA - WAUSAU DIALYSIS5225932600 STEWART AVENUE, SUITE 144WAUSAUWI54401110%1010
5613FRESENIUS MEDICAL CARE - MANITOWOC522594333 REED AVENUEMANITOWOCWI54220110%1010
5614DAVITA - MILL STREET HOME TRAINING522595N54 W6135 MILL STREET SUITE 500CEDARBURGWI5301211N/A10
5615LAKE HALLIE DIALYSIS OF DAVITA5225963636 EAST MELBY STREETLAKE HALLIEWI5472911N/A10
5616PURITY HOME TRAINING CENTER5225972301 SUN VALLEY DRIVE SUITE 101DELAFIELDWI5301811N/A10
5617CHILDRENS HOSPITAL OF WI5233005223199000 WEST WISCONSIN AVENUE, BOX 1997DIALYSIS UNIT - MAIL STATION 604MILWAUKEEWI5320111N/A10
5618GUNDERSEN LUTHERAN RENAL DIALYSIS - PRAIRIE DU CHIEN523500610 EAST TAYLOR STREETPRAIRIE DU CHIENWI53821110%1010
5619GUNDERSEN LUTHERAN RENAL DIALYSIS - TOMAH523505321 BUTTS AVENUETOMAHWI54660110%1010
5620FOND DU LAC DIALYSIS CTR523506521327101 SOUTH PIONEER ROADFOND DU LACWI54935110%1010
5621MAYO DIALYSIS - BARRON5235151222 WOODLAND AVENUEBARRONWI548121115%410
5622GUNDERSEN LUTHERAN RENAL DIALYSIS - VIROQUA523517407 SOUTH MAIN STREETSTE 300VIROQUAWI54665110%1010
5623MAYO CLINIC HOSPITAL ROCHESTER523519522309191 THEATRE ROADONALASKAWI54650110%1010
5624MAYO CLINIC DIALYSIS - LONDON ROAD5235223845 LONDON ROADEAU CLAIREWI547011113%110
5625SACRED HEART DIALYSIS AT ST JOSEPHS HOSP5235252661 COUNTY TRUNK ICHIPPEWA FALLSWI54729110%1010
5626ASPIRUS HOSP DIALYSIS CTR5235275200303000 WESTHILL DRIVESUITE 106WAUSAUWI54401110%1010
5627GUNDERSEN LUTHERAN RENAL DIALYSIS - ONALASKA5235283075 SOUTH KINNEY COULEE ROADONALASKAWI54650110%1010
5628LANGLADE HOSPITAL DIALYSIS523529521350501 AURORA STREETANTIGOWI54409110%1010
5629GUNDERSEN LUTHERAN RENAL DIALYSIS - BLACK RIVER FALLS523530711 WEST ADAMS STREETBLACK RIVER FALLSWI5461511N/A10
5630BEAVER DAM DIALYSIS523531110 MONROE STREETBEAVER DAMWI53916110%1010
5631GUNDERSEN LUTHERAN RENAL DIALYSIS - RICHLAND CENTER5235321313 WEST SEMINARY STREETCENTER CREEK PROF BLDGRICHLAND CENTERWI5358111N/A10
5632CCMH DIALYSIS UNIT530002532305501 SOUTH BURMAGILLETTEWY8271615N/A10
5633BILLINGS CLINIC SHERIDAN DIALYSIS5300065323021401 WEST 5TH STREETSHERIDANWY82801150%1010
5634MEM HOSP OF SWEETWATER COUNTY/DIALYSIS5300115323041200 COLLEGE DRIVEROCK SPRINGSWY82901150%1010
5635IVINSON MEMORIAL HOSP - DIALYSIS CENTER530025532306255 NORTH 30TH STREETLARAMIEWY8207215N/A10
5636CHEYENNE DIALYSIS (FMC)5325011739 MEADOWLAND DRIVECHEYENNEWY82009150%1010
5637WIND RIVER DIALYSIS CENTER53250311 SHIPTON LANEFORT WASHAKIEWY82514150%1010
5638WYOMING KIDNEY CENTER5325041141 WILKINS CIRCLECASPERWY82601150%1010
5639BIG HORN BASIN REGIONAL DIALYSIS (DCI)532505424 YELLOWSTONE AVENUE, SUITE 150CODYWY8241415N/A10
5640EVANSTON REGIONAL HOSPITAL/DIALYSIS533501460004532307112 YELLOWCREEK ROADEVANSTONWY8293015N/A10
5641ADVANCED DIALYSIS CENTER5525013932 DOWNING AVENUEBALDWIN PARKCA91706180%1010
5642RAI-EAST FIRST STREET-TUSTIN552502535 EAST FIRST STREETTUSTINCA92780180%1010
5643FMC SANTA ROSA NORTH552503487 AVIATION BOULEVARD SUITE 110SANTA ROSACA95403170%1010
5644TOKAY DIALYSIS CENTER552504312 SOUTH FAIRMONT AVENUE SUITE ALODICA95240170%1010
5645PALM BLUFF DIALYSIS CENTER552505770 WEST PINEDALE AVENUEFRESNOCA93711170%1010
5646FMC-IRWINDALE55250612711 RAMONA BOULEVARD, SUITE 111IRWINDALECA9170618N/A10
5647INNOVATIVE DIALYSIS CENTER OF SHERMAN OAKS, INC.5525074955 VAN NUYS BOULEVARD, SUITE 111SHERMAN OAKSCA91403180%1010
5648FMC-WOODLAND HILLS DIALYSIS CENTER55250819836 VENTURA BOULEVARD, SUITE CWOODLAND HILLSCA91364180%1010
5649DAVITA-WHITTIER DIALYSIS CENTER55250910055 WHITTWOOD DRIVE, SUITE AWHITTIERCA90603180%1010
5650CREEKSIDE DIALYSIS CENTER552510141 PARKER STREETVACAVILLECA95688170%1010

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cms cms

created Oct 23, 2012

updated Jan 21, 2015

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QIP data by facility: % patients with Hgb >12.

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