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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
301462535 LONE PEAK DIALYSIS (DVA)4625351175 E 50 S STE 111AMERICAN FORKUT84003150%109
302462536 HURRICANE DIALYSIS CENTER46253648 S 2500 W STE 100HURRICANEUT84737150%109
303462537 LIBERTY DIALYSIS - LAYTON (FMC)4625372132 N 1700 W STE 120LAYTONUT84041150%109
304462538 LIBERTY DIALYSIS - WOODSCROSS (FMC)462538572 W 750 SBOUNTIFULUT8401015Insufficient dataN/A9
305462539 WEBER VALLEY DIALYSIS (DVA)4625391920 W 250 NOGDENUT84404150%109
306462540 LIBERTY DIALYSIS - OGDEN (FMC)4625404780 OLD POST RDOGDENUT84403150%109
307462541 PLEASANT VIEW DIALYSIS CENTER4625412715 N HIGHWAY 89OGDENUT84414150%109
308462542 LIBERTY DIALYSIS - ST GEORGE (FMC)4625421173 S 250 W STE 406SAINT GEORGEUT84770150%109
309462543 PAYSON REGIONAL DIALYSIS46254315 S 1000 E STE 50PAYSONUT84651150%109
310462544 MARK LINDSAY DIALYSIS CENTER4625441154 E COUNTRY HILLS DROGDENUT84405150%109
311462545 LIBERTY DIALYSIS WEST JORDAN (FMC)4625453823 W 9000 S STE DWEST JORDANUT84088150%109
312463501 INTERMOUNTAIN MEDICAL CENTER DIALYSIS SERVICES46350146001074 WEST VINE STREETMURRAYUT84107150%109
313463502 UTAH DIALYSIS LAB4635021000 S MAIN ST STE 105SALT LAKE CITYUT84101150%109
314463504 SEVIER VALLEY DIALYSIS4635044600061100 NORTH MAINRICHFIELDUT84701150%109
315463505 UINTAH BASIN MED CTR DIALYSIS - ROOSEVELT463505460019205 W 300 N #75-2ROOSEVELTUT84066150%109
316463506 UINTAH BASIN MED CTR DIALYSIS- VERNAL463506224 E 500 S STE AVERNALUT84078150%109
317530002 CCMH DIALYSIS UNIT530002532305501 S BURMAGILLETTEWY8271615Insufficient dataN/A9
318530006 BILLINGS CLINIC SHERIDAN DIALYSIS5300065323021401 W 5TH STSHERIDANWY82801150%109
319530011 MEM HOSP OF SWEETWATER COUNTY/DIALYSIS5300115323041200 COLLEGE DRROCK SPRINGSWY82901150%109
320530025 IVINSON MEMORIAL HOSP - DIALYSIS CENTER530025532306255 N 30TH STLARAMIEWY8207215Insufficient dataN/A9
321532501 CHEYENNE DIALYSIS (FMC)5325011739 MEADOWLAND DRCHEYENNEWY82009150%109
322532503 WIND RIVER DIALYSIS CENTER53250311 SHIPTON LNFORT WASHAKIEWY82514150%109
323532504 WYOMING KIDNEY CENTER5325041141 WILKINS CIRCASPERWY82601150%109
324532505 BIG HORN BASIN REGIONAL DIALYSIS (DCI)532505424 YELLOWSTONE AVE, STE 150CODYWY82414156%09
325533501 EVANSTON REGIONAL HOSPITAL/DIALYSIS533501532307112 YELLOWCREEK RDEVANSTONWY8293015Insufficient dataN/A9
326A UNIQUE KIDNEY CENTER LLC6825043105 N UNIVERSITY DRDAVIEFL330247Insufficient dataN/A9
327ABBEVILLE DIALYSIS422628904 W GREENWOOD STABBEVILLESC2962060%109
328ABERCORN DIALYSIS11263111706 MERCY BLVDBLDG 9SAVANNAHGA3141960%109
329ABERDEEN DIALYSIS212650780 W BEL AIR AVEABERDEENMD2100150%109
330ABORN DIALYSIS CENTER5526433162 S WHITE ROADSAN JOSECA95148170%109
331ACCESSCARE EASTLAND DIALYSIS6727102300 WEST COMMERCE STEASTLANDTX76448140%109
332ADC1 INC - PINEVIEW2126809106 PINE VIEW LNCLINTONMD2073550%109
333ADIRONDACK MEDICAL CENTER - DIALYSIS333564144 WAWBEEK AVENUETUPPER LAKENY129862Insufficient dataN/A9
334ADIRONDACK MEDICAL CENTER ESRD3300793324042233 STATE ROUTE 86SARANAC LAKENY1298320%109
335ADVANCED DIALYSIS CENTER5525013932 DOWNING AVENUEBALDWIN PARKCA91706180%109
336ADVANCED DIALYSIS CENTER - EASTON212649610 E DUTCHMANS LNEASTONMD2160150%109
337ADVANCED DIALYSIS CENTER - POTOMAC4926351785 S HAYES STARLINGTONVA2220250%109
338ADVANCED DIALYSIS CENTER - ROCKVILLE212656299 HURLEY AVEROCKVILLEMD2085050%109
339ADVANCED DIALYSIS CENTER OF FT LAUDERDALE102878911 E OAKLAND PARK BLVDOAKLAND PARKFL3333470%109
340ADVANCED DIALYSIS SERVICES2626452655 MUEGGE ROAD SUITE 101SAINT CHARLESMO63303120%109
341ADVANCED KIDNEY THERAPIES OF FOXBOROUGH22257910 LINCOLN RDSUITE 101FOXBOROUGHMA0203510%109
342ADVANCED RENAL CARE1028153614 W KENNEDY BLVD SUITE ATAMPAFL3360970%109
343AFFILIATED DIALYSIS CENTERS142676715 LAKE STREET, STE. 318OAK PARKIL60301100%109
344AFFILIATED DIALYSIS OF GLEN ELLYN142752800 ROOSEVELT RD STE C-16GLEN ELLYNIL60137100%109
345AFFILIATED DIALYSIS OF JOLIET1427731352 HOUBOLT RDJOLIETIL6043110Insufficient dataN/A9
346AFFILIATED HOME DIALYSIS - ELK GROVE1426991014 BONAVENTURE DRIVEELK GROVE VILLAGEIL60007100%109
347AFFILIATED HOME DIALYSIS, LLC1426832500 NORTH MAIN ST., SUITE 1AEAST PEORIAIL61611100%109
348AHOSKIE DIALYSIS342570129 HERTFORD COUNTY HIGH RDAHOSKIENC2791060%109
349AIKEN DIALYSIS422512775 MEDICAL PARK DRIVEAIKENSC2980160%109
350ALAMEDA COUNTY DIALYSIS CENTER05278710700 MACARTHUR BLVD. BUILDING 7OAKLANDCA94605172%09

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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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