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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
201SUN CITY WEST DIALYSIS (FMC)03254612213 WEST BELL ROAD SUITE 110SURPRISEAZ8537415N/A10
202SUN CITY DIALYSIS (FMC)03254710050 WEST BELL ROAD SUITE 29-31SUN CITYAZ85351150%1010
203SAFFORD DIALYSIS (FMC)0325491250 SOUTH 20TH AVENUESAFFORDAZ85546150%1010
204NORTH PHOENIX DIALYSIS (FMC)0325501957 WEST DUNLAP AVENUE SUITE 6CPHOENIXAZ85021150%1010
205MESA DIALYSIS (DSI)0325511337 SOUTH GILBERT ROAD SUITE 109MESAAZ85204150%1010
206ARROWHEAD DIALYSIS (FMC)03255216844 NORTH 59TH AVENUEGLENDALEAZ85306150%1010
207PAPAGO DIALYSIS (DVA)0325535115 EAST THOMAS, SUITE #115PHOENIXAZ85018150%1010
208SOUTH YUMA DIALYSIS (DVA)0325567179 EAST 31ST PLACEYUMAAZ85365150%1010
209TUCSON SOUTH DIALYSIS (DVA)0325573662 SOUTH 16TH AVENUETUCSONAZ85713150%1010
210BULLHEAD CITY DIALYSIS (FMC)0325582650 MIRACLE MILEBULLHEAD CITYAZ86442150%1010
211FOUR CORNERS DIAL CLINIC KAYENTA (DVA)032559US HIGHWAY 163 NORTHKAYENTAAZ86033150%1010
212CASA GRANDE DIALYSIS (FMC)032561695 EAST COTTONWOOD LANECASA GRANDEAZ85122150%1010
213COTTONWOOD DIALYSIS (DVA)032562203 SOUTH CANDY LANE SUITE 11 A & BCOTTONWOODAZ86326150%1010
214SCOTTSDALE DIALYSIS (FMC)0325631495 NORTH HAYDEN SUITE D1-D4SCOTTSDALEAZ85257150%1010
215MARYVALE DIALYSIS (FMC)0325644502 WEST INDIAN SCHOOL ROAD SUITE A4-11PHOENIXAZ85031150%1010
216DESERT DIALYSIS CENTER SOUTH TUCSON (DCI)0325651011 EAST PENNSYLVANIA STREETTUCSONAZ85719150%1010
217RED MOUNTAIN DIALYSIS (FMC)0325681211 NORTH COUNTRY CLUB DRIVE SUITE 4MESAAZ85201150%1010
218NORTH SCOTTSDALE DIALYSIS (FMC)03257116101 NORTH 82ND STREET SUITE 6-7SCOTTSDALEAZ85260150%1010
219DESERT DIALYSIS SRVS INC-SUN CITY (DVA)03257213000 NORTH 103RD AVENUE SUITE 66SUN CITYAZ85351150%1010
220PASCUA YAQUI DIALYSIS (DVA)0325737490 SOUTH CAMINO DE OESTETUCSONAZ85757150%1010
221SHOW LOW DIALYSIS (FMC)0325751500 SOUTH WHITE MOUNTAIN BOULEVARD SUITE 204SHOW LOWAZ85901150%1010
222YAVAPAI DIALYSIS (FMC)0325773605 RANCH DRIVEPRESCOTTAZ86303150%1010
223APACHE JUNCTION DIALYSIS (FMC)03257811540 EAST UNIVERSITY DRIVE SUITE 109APACHE JUNCTIONAZ85220152%610
224SUN LAKES DIALYSIS (FMC)0325799666 EAST RIGGS ROAD SUITE 143SUN LAKESAZ85248150%1010
225PALM VALLEY DIALYSIS (FMC)03258013657 WEST MCDOWELL ROAD SUITE 106GOODYEARAZ85338150%1010
226AK-CHIN DIALYSIS (FMC)03258103111416536 NORTH MARICOPA ROADMARICOPAAZ85239150%1010
227KINGMAN KIDNEY CENTER INC.0325824055 STOCKTON HILL ROAD SUITE 15KINGMANAZ86409152%610
228SOUTH PHOENIX DIALYSIS (DSI)0325830311154621 SOUTH CENTRAL AVENUEPHOENIXAZ85040150%1010
229TEMPE RENAL CENTER (DSI)0325868820 SOUTH KYRENE ROADTEMPEAZ85284150%1010
230DEER VALLEY DIALYSIS (FMC)03258721241 NORTH 23RD AVENUE SUITE 11PHOENIXAZ85027150%1010
231TUCSON SOUTH CENTRAL DIALYSIS (DVA)0325892024 EAST IRVINGTON ROADTUCSONAZ85714152%610
232HOPI DIALYSIS CENTER (DVA)032592HIGHWAY 264 MP 388POLACCAAZ86042150%1010
233GRANITE VALLEY DIALYSIS (FMC)03259314510 WEST SHUMWAY DRIVE SUITE 100SUN CITY WESTAZ85375150%1010
234SALT RIVER DIALYSIS CENTER (FMC)03259410301 EAST OSBORN ROAD BUILDING 14SCOTTSDALEAZ85256150%1010
235GLENDALE FAMILY HEALTH CENTER - DIALYSIS0325955141 WEST LAMAR ROADGLENDALEAZ8530115N/A10
236NORTHEAST PHOENIX DIALYSIS (DSI)0325963305 EAST GREENWAY ROAD SUITE 1PHOENIXAZ85032150%1010
237SAN CARLOS DIALYSIS (FMC)032597US 70 & AZ ROUTE 170PERIDOTAZ85542150%1010
238MAMMOTH DIALYSIS (FMC)03259814786 SOUTH HIGHWAY 77 - POB 729MAMMOTHAZ85618150%1010
239AHWATUKEE DIALYSIS (FMC)0325994629 EAST CHANDLER BOULEVARD SUITE 100PHOENIXAZ85048150%1010
240SCOTTSDALE DIALYSIS CENTER (DVA)0326004725 NORTH SCOTTSDALE ROAD SUITE 100SCOTTSDALEAZ85251155%110
241PALM BROOK DIALYSIS CENTER (DVA)03260114664 NORTH DEL WEBB BOULEVARDSUN CITYAZ85351150%1010
242SOUTHWEST KIDNEY DIALYSIS - ARROWHEAD LAKES (DVA)03260420325 NORTH 51ST AVENUE SUITE 186 BUILDING 11GLENDALEAZ85308150%1010
243SOUTHWEST KIDNEY DIALYSIS - GILBERT (DVA)0326055222 EAST BASELINE ROAD SUITE 104GILBERTAZ85234150%1010
244AVONDALE DIALYSIS (FMC)03260710750 WEST MCDOWELL ROAD SUITE E500AVONDALEAZ85323150%1010
245AVONDALE DIALYSIS (DSI)03260813055 WEST MCDOWELL ROAD SUITE F101AVONDALEAZ85392150%1010
246SOUTHWEST KIDNEY DIALYSIS - TEMPE (DVA)0326092149 EAST WARNER ROAD SUITE 109 & SUITE 110TEMPEAZ85284150%1010
247SOUTHEAST VALLEY DIALYSIS (FMC)03261022715 SOUTH ELLSWORTH ROAD SUITE DQUEEN CREEKAZ85142150%1010
248SOUTHWEST KIDNEY DIALYSIS - PHOENIX (DVA)032611337 EAST CORONADO ROAD SUITE 101PHOENIXAZ85004150%1010
249SOUTHWEST KIDNEY DIALYSIS - ESTRELLA (DVA)0326128410 WEST THOMAS ROAD SUITE 100 BUILDING 1PHOENIXAZ85037150%1010
250NORTHWEST TUCSON DIALYSIS (FMC)0326136261 NORTH LA CHOLLA BOULEVARD SUITE 181TUCSONAZ85741150%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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