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ESRD QIP - Anemia - Payment Year 2016

Row numberFacility NameCMS Certification NumberAlternate CCN 1Alternate CCN 2Address 1Address 2CityStateZip CodeNetworkHemoglobin gt 12 g/dL Performance RateHemoglobin gt 12 g/dL Measure ScoreNational Avg Hemoglobin gt 12 g/dL Measure Score
251322514 TAOS DIALYSIS (DCI)3225141335 MAESTAS RDTAOSNM87571150%109
252322515 SHIPROCK DIALYSIS (DVA)322515HIGHWAY 491 NSHIPROCKNM87420154%09
253322516 DEMING DIALYSIS (FMC)322516814 W ADOBE DRDEMINGNM88030150%109
254322517 PLAINS REGIONAL DIALYSIS CENTER (FMC)3225172117 N THOMASCLOVISNM88101150%109
255322518 LAS VEGAS NM DIALYSIS (FMC)322518246 MILLS AVELAS VEGASNM87701150%109
256322519 SOUTHEASTERN NM KIDNEY CENTER (FMC)3225192801 N MAIN SUITE HROSWELLNM88201150%109
257322520 RIO RANCHO DIALYSIS (DCI)3225204045 JACKIE RD SERIO RANCHONM87124150%109
258322521 HOBBS DIALYSIS (FMC)3225212827 N DAL PASO STE 105HOBBSNM88240150%109
259322522 CARLSBAD DIALYSIS (DCI)3225223200632319 OSBORNE RDCARLSBADNM88220150%109
260322523 NORTH ALBUQUERQUE DIALYSIS CENTER (FMC)3225234700 JEFFERSON NE STE 300ALBUQUERQUENM87109150%109
261322524 ACL DIALYSIS (DCI)322524I-40 EXIT 102SAN FIDELNM87049152%09
262322526 RATON DIALYSIS (DCI)322526900 S SIXTH STRATONNM8774015Insufficient dataN/A9
263322527 LAS CRUCES RENAL CENTER (DVA)3225273961 E LOHMAN AVE STE 29LAS CRUCESNM88011150%109
264322528 LAS CRUCES SOUTH DIALYSIS (FMC)3225282525 S TELSHOR BLVD STE BLAS CRUCESNM88011150%109
265322529 CARLSBAD DIALYSIS (FMC)322529902 A WEST PIERCECARLSBADNM88220150%109
266322530 ALBUQUERQUE EAST (DCI)322530905 LOUISIANA BLVD NEALBUQUERQUENM87110150%109
267322531 GIBSON DIALYSIS CENTER (FMC)3225315400 GIBSON BLVD SEALBUQUERQUENM87108150%109
268322533 NORTH RIO RANCHO DIALYSIS (FMC)3225337555 ENCHANTED HILLS BLVD STE 102RIO RANCHONM87144150%109
269322534 RED ROCKS DIALYSIS- GALLUP322534725 HOSPITAL DRGALLUPNM87301151%29
270322535 RED ROCKS DIALYSIS - ZUNI32253520 D AVENUEZUNINM87327150%109
271322536 RED ROCKS DIALYSIS - CROWNPOINT322536JCT OF HWY 57 & RTE 9CROWNPOINTNM87313150%109
272322537 ARTESIA DIALYSIS (DVA)322537702 N 13TH STARTESIANM88210150%109
273322538 SANTA FE HOME (FMC)3225382100 CALLE DE LA VUELTA, SUITE A101SANTA FENM87505150%109
274322539 SANTO DOMINGO PUEBLO (DCI)32253985 W HIGHWAY 22SANTO DOMINGO PUEBLONM87052150%109
275322540 RED ROCKS HOME DIALYSIS, LLC3225401801 RED ROCKS DRGALLUPNM87301150%109
276322541 ALBUQUERQUE SOUTH (DCI)3225411725 ISLETA BLVD SWALBUQUERQUENM87105153%09
277322542 HOME DIALYSIS OF NEW MEXICO322542700 LOMAS BLVD NETHREE WOODWARD CENTERALBUQUERQUENM8710215Insufficient dataN/A9
278322543 CUBA DIALYSIS (DCI)32254314 EAST CORDOVA AVECUBANM8710315Insufficient dataN/A9
279460009 UNIVERSITY OF UTAH/IPAD46000946230050 N MEDICAL DR RM 220SALT LAKE CITYUT8413215Insufficient dataN/A9
280460014 TOOELE VALLEY DIALYSIS CENTER460014462308196 E 2000 N STE 112TOOELEUT84074150%109
281460015 LOGAN REGIONAL HOSPITAL DIALYSIS CENTER4600154623071400 N 550 ESUITE KLOGANUT84341150%109
282460056 BLUE MOUNTAIN HOSPITAL DIALYSIS460056462319802 S 200 WBLANDINGUT84511150%109
283462311 HEBER VALLEY DIALYSIS462311461307380 EAST 1500 SOUTHHEBER CITYUT8403215Insufficient dataN/A9
284462500 FARMINGTON BAY DIALYSIS CENTER462500942 S MAIN STLAYTONUT84041150%109
285462503 KOLFF DIALYSIS CENTER/UNIV. OF UTAH46250385 N MEDICAL DR E RM 2O1SALT LAKE CITYUT84112150%109
286462504 UNIVERSITY OF UTAH PROVO DIALYSIS CENTER4625041675 N FREEDOM BLVD STE 15PROVOUT84604155%09
287462510 CASTLEVIEW DIALYSIS462510230 N HOSPITAL DR STE 1PRICEUT84501150%109
288462511 DIXIE DIALYSIS CENTER462511720 S RIVER RD STE D1100SAINT GEORGEUT84790150%109
289462518 SOUTH VALLEY DIALYSIS CENTER4625188750 S SANDY PKWYSANDYUT84070150%109
290462519 BONNEVILLE DIALYSIS CENTER4625195575 S 500 EOGDENUT84405150%109
291462520 WEST BOUNTIFUL DIALYSIS (DVA)462520724 W 500 S STE 300W BOUNTIFULUT8408715Insufficient dataN/A9
292462521 LAKESIDE DIALYSIS CENTER462521532 S 500 WBOUNTIFULUT84010150%109
293462524 TIMPANOGOS DIALYSIS CENTER (DVA)4625241055 N 500 W STE 222PROVOUT8460415Insufficient dataN/A9
294462525 UTAH VALLEY DIALYSIS (DVA)4625254600011055 N 500 W STE 221PROVOUT84604150%109
295462528 IRON MISSION DIALYSIS CENTER4625281277 N NORTHFIELD RD STE A100CEDAR CITYUT84721150%109
296462529 OQUIRRH ARTIFICIAL KIDNEY CENTER4625292496 W 4700 STAYLORSVILLEUT84118150%109
297462530 WASATCH ARTIFICIAL KIDNEY CENTER462530650 E 4500 S STE 150SALT LAKE CITYUT84107150%109
298462532 SOUTH MOUNTAIN DIALYSIS46253210969 S RIVERFRONT PKWY STE 100SOUTH JORDANUT84095150%109
299462533 WEST VALLEY DIALYSIS CLINIC4625333854 W 5400 STAYLORSVILLEUT84129150%109
300462534 AMERICAN FORK DIALYSIS CENTER462534120 N 1220 E STE 14AMERICAN FORKUT8400315Insufficient dataN/A9

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cms cms

created Oct 23, 2012

updated Jan 27, 2016

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

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