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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
301FMCNA - STUTTGART DIALYSIS0425372202 SOUTH MAIN STREETSTUTTGARTAR72160130%1010
302DAVITA - FAYETTEVILLE042539509 EAST MILLSAP SUITE 111FAYETTEVILLEAR72703130%1010
303DAVITA - BENTONVILLE0425401104 SOUTHEAST 30TH STREETBENTONVILLEAR72712130%1010
304FMCNA - MONTICELLO042543774 JORDAN DRIVEMONTICELLOAR71655130%1010
305DAVITA - SW ARKANSAS DIALYSIS-MAGNOLIA042545225 NORTH DUDNEYMAGNOLIAAR71753130%1010
306DAVITA - LITTLE ROCK MIDTOWN DIALYSIS042547#2 LILE COURT SUITE 102LITTLE ROCKAR72205130%1010
307DAVITA - NORTH LITTLE ROCK DIALYSIS CTR0425484505 EAST MCCAIN BOULEVARDNORTH LITTLE ROCKAR72117130%1010
308DAVITA - SILOAM SPRINGS042549500 SOUTH MOUNT OLIVE SUITE 107SILOAM SPRINGSAR72761130%1010
309FMCNA - BLYTHEVILLE0425501001 EAST MOULTRIEBLYTHEVILLEAR72315130%1010
310LEWISVILLE DIALYSIS CTR042551PO BOX 742LEWISVILLEAR7184513N/A10
311DAVITA - JACKSONVILLE CENTRAL DIALYSIS CTR042553400 T P WHITE DRIVEJACKSONVILLEAR72076130%1010
312DAVITA - JACKSON COUNTY DX0425541912 MCCLAINPRATT SQUARENEWPORTAR72112130%1010
313FMCNA - BENTON0425562101 CONGO ROADBENTONAR72015130%1010
314DAVITA - INDEPENDENCE COUNTY DX0425571700 HARRISON STREET SUITE FBATESVILLEAR72501130%1010
315DAVITA - SALINE COUNTY DIALYSIS042558GROUND LEVEL-1200 NORTH MAIN SUITE 2BENTONAR72015130%1010
316DAVITA - ASHLEY DIALYSIS CTR0425601019 FRED LAGRONE DRIVECROSSETTAR71635130%1010
317US RENAL CARE OF NORTHEAST AR - PARAGOULD042562901 WEST KINGS HIGHWAYPARAGOULDAR72450130%1010
318DAVITA - HEMPSTEAD COUNTY DIALYSIS UNIT0425631803 SOUTH LAURELHOPEAR71801130%1010
319US RENAL CARE - PINE BLUFF0425642800 WEST 28TH STREETPINE BLUFFAR71603130%1010
320PINE BLUFF DIALYSIS - KIDNEY CTR OF MCGEHEE042565610 WEST HOLLY STREETMCGEHEEAR71654130%1010
321RVM - RENAL CTR OF MTN HOME042567200 EAST 8TH STREET #101MOUNTAIN HOMEAR72653130%1010
322DAVITA - SPRINGDALE042568708 QUANDT AVENUESPRINGDALEAR72764130%1010
323HOPE DIALYSIS CENTER042569407 WEST 16TH STREETHOPEAR7180113N/A10
324DAVITA - MALVERN DIALYSIS0425701590 TANNER ROADMALVERNAR72104130%1010
325DVA RENAL HEALTHCARE - LITTLE ROCK DIALYSIS0425716 FREEWAY DRIVESUITE 100LITTLE ROCKAR72204130%1010
326DAVITA - RENAL CARE OF MARION0425731120 STATE HIGHWAY 77 SUITE 2MARIONAR72364135%110
327NORTH HILLS DIALYSIS042574107 EAST MONTE PAINTER DRIVEFAYETTEVILLEAR72703131%810
328BENTON COUNTY DIALYSIS CTR042575801 SOUTHEAST PLAZA AVENUE SUITE 1BENTONVILLEAR72712130%1010
329DAVITA - BRADLEY COUNTY DIALYSIS042576204 NORTH BRAGGWARRENAR71671130%1010
330NEA BAPTIST CLINIC - MIDDLEFIELD0425773005 MIDDLEFIELDJONESBOROAR72401130%1010
331DAVITA - MILLER COUNTY DIALYSIS042578816 EAST STREETTEXARKANAAR71854130%1010
332DIALYSIS CENTER OF SILOAM SPRINGS0425802125 EAST MAIN SUITE 12SILOAM SPRINGSAR72761130%1010
333VAMANA, INC042581422 BEECH STREETTEXARKANAAR71854136%110
334DAVITA - MENA DIALYSIS0425821200 CRESTWOOD CIRCLEMENAAR71953130%1010
335DCI - MCCRORY042583139 WEST HIGHWAY 64 SUITE 100MCCRORYAR72101130%1010
336HARRISON DIALYSIS0425841409 GLADDENHARRISONAR72601130%1010
337DAVITA - FORREST CITY0425851501 NORTH WASHINGTON STREETFORREST CITYAR72335130%1010
338RENAL SOUTH OF ROGERS, LLC042586101 NORTH 37THROGERSAR7275613N/A10
339DAVITA - MARKED TREE DX042587216 HESTER PARKER DRIVEMARKED TREEAR7236513N/A10
340NEA BAPTIST CLINIC - HILLTOP0425884909 EAST JOHNSON AVENUEJONESBOROAR72401130%1010
341FMCNA - EAST LITTLE ROCK0425895320 WEST 12TH STREETEAST LITTLE ROCKAR7220413N/A10
342ST BERNARDS-WYNNE043501310 SOUTH FALLS BOULEVARDPO BOX 590WYNNEAR72396130%1010
343SANTA CLARA VALLEY RENAL CARE CENTER0500380523052220 MOORPARK AVENUESAN JOSECA95128170%1010
344ST. JOSEPH HOSPITAL RENAL CENTER0500690523110523681100 WEST STEWART DRIVESR. ELIZABETH BLDG.ORANGECA92868181%810
345KAISER PERMANENTE - SANTA CLARA050071052392710 LAWRENCE EXPRESSWAY #460SANTA CLARACA9505117N/A10
346KAISER PERMANENTE MARTINEZ050072052403200 MUIR ROAD, HACIENDA BUILDING, SECOND FLOORMARTINEZCA9455317N/A10
347KAISER FOUNDATION HOSPITAL MEDICAL CTR.- SUNSET0501380523234700 SUNSET BOULEVARD, 2ND FLOORDIALYSIS UNITLOS ANGELESCA9002718N/A10
348KAISER FOUNDATION HOSPITAL MEDICAL CTR. -DOWNEY0501390523899333 EAST IMPERIAL HIGHWAYCAPD DEPARTMENT-BASEMENTDOWNEYCA9024218N/A10
349KAISER FOUNDATION HOSPITAL MEDICAL CTR.- FONTANA0501400523809985 SIERRA AVENUE MOB-3PERITONEAL DIALYSIS UNITFONTANACA9233518N/A10
350ARROWHEAD REGIONAL MEDICAL CENTER050245052334400 NORTH PEPPER AVENUECOLTONCA92324180%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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