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11

This is a chart based on ESRD QIP - Complete QIP Data - Payment Year 2015.

Row numberFacility NameCMS Certification Number (CCN)Alternate CCN 1Address 1Address 2CityStateZip CodeNetworkHemoglobin 12 g/dL Measure ScoreHemoglobin 12 g/dL Performance Period RateHemoglobin 12 g/dL Baseline Period Rate
201SUN CITY WEST DIALYSIS (FMC)03254612213 WEST BELL ROAD SUITE 110SURPRISEAZ8537415N/A
202SUN CITY DIALYSIS (FMC)03254710050 WEST BELL ROAD SUITE 29-31SUN CITYAZ8535115100%0%
203SAFFORD DIALYSIS (FMC)0325491250 SOUTH 20TH AVENUESAFFORDAZ8554615100%0%
204NORTH PHOENIX DIALYSIS (FMC)0325501957 WEST DUNLAP AVENUE SUITE 6CPHOENIXAZ8502115100%0%
205MESA DIALYSIS (DSI)0325511337 SOUTH GILBERT ROAD SUITE 109MESAAZ8520415100%0%
206ARROWHEAD DIALYSIS (FMC)03255216844 NORTH 59TH AVENUEGLENDALEAZ8530615100%0%
207PAPAGO DIALYSIS (DVA)0325535115 EAST THOMAS, SUITE #115PHOENIXAZ8501815100%0%
208SOUTH YUMA DIALYSIS (DVA)0325567179 EAST 31ST PLACEYUMAAZ8536515100%0%
209TUCSON SOUTH DIALYSIS (DVA)0325573662 SOUTH 16TH AVENUETUCSONAZ8571315100%0%
210BULLHEAD CITY DIALYSIS (FMC)0325582650 MIRACLE MILEBULLHEAD CITYAZ8644215100%0%
211FOUR CORNERS DIAL CLINIC KAYENTA (DVA)032559US HIGHWAY 163 NORTHKAYENTAAZ8603315100%0%
212CASA GRANDE DIALYSIS (FMC)032561695 EAST COTTONWOOD LANECASA GRANDEAZ8512215100%0%
213COTTONWOOD DIALYSIS (DVA)032562203 SOUTH CANDY LANE SUITE 11 A & BCOTTONWOODAZ8632615100%0%
214SCOTTSDALE DIALYSIS (FMC)0325631495 NORTH HAYDEN SUITE D1-D4SCOTTSDALEAZ8525715100%0%
215MARYVALE DIALYSIS (FMC)0325644502 WEST INDIAN SCHOOL ROAD SUITE A4-11PHOENIXAZ8503115100%0%
216DESERT DIALYSIS CENTER SOUTH TUCSON (DCI)0325651011 EAST PENNSYLVANIA STREETTUCSONAZ8571915100%0%
217RED MOUNTAIN DIALYSIS (FMC)0325681211 NORTH COUNTRY CLUB DRIVE SUITE 4MESAAZ8520115100%0%
218NORTH SCOTTSDALE DIALYSIS (FMC)03257116101 NORTH 82ND STREET SUITE 6-7SCOTTSDALEAZ8526015100%0%
219DESERT DIALYSIS SRVS INC-SUN CITY (DVA)03257213000 NORTH 103RD AVENUE SUITE 66SUN CITYAZ8535115100%0%
220PASCUA YAQUI DIALYSIS (DVA)0325737490 SOUTH CAMINO DE OESTETUCSONAZ8575715100%0%
221SHOW LOW DIALYSIS (FMC)0325751500 SOUTH WHITE MOUNTAIN BOULEVARD SUITE 204SHOW LOWAZ8590115100%0%
222YAVAPAI DIALYSIS (FMC)0325773605 RANCH DRIVEPRESCOTTAZ8630315100%0%
223APACHE JUNCTION DIALYSIS (FMC)03257811540 EAST UNIVERSITY DRIVE SUITE 109APACHE JUNCTIONAZ852201562%0%
224SUN LAKES DIALYSIS (FMC)0325799666 EAST RIGGS ROAD SUITE 143SUN LAKESAZ8524815100%0%
225PALM VALLEY DIALYSIS (FMC)03258013657 WEST MCDOWELL ROAD SUITE 106GOODYEARAZ8533815100%0%
226AK-CHIN DIALYSIS (FMC)03258103111416536 NORTH MARICOPA ROADMARICOPAAZ8523915100%0%
227KINGMAN KIDNEY CENTER INC.0325824055 STOCKTON HILL ROAD SUITE 15KINGMANAZ864091562%4%
228SOUTH PHOENIX DIALYSIS (DSI)0325830311154621 SOUTH CENTRAL AVENUEPHOENIXAZ8504015100%0%
229TEMPE RENAL CENTER (DSI)0325868820 SOUTH KYRENE ROADTEMPEAZ8528415100%0%
230DEER VALLEY DIALYSIS (FMC)03258721241 NORTH 23RD AVENUE SUITE 11PHOENIXAZ8502715100%0%
231TUCSON SOUTH CENTRAL DIALYSIS (DVA)0325892024 EAST IRVINGTON ROADTUCSONAZ857141562%0%
232HOPI DIALYSIS CENTER (DVA)032592HIGHWAY 264 MP 388POLACCAAZ8604215100%0%
233GRANITE VALLEY DIALYSIS (FMC)03259314510 WEST SHUMWAY DRIVE SUITE 100SUN CITY WESTAZ8537515100%0%
234SALT RIVER DIALYSIS CENTER (FMC)03259410301 EAST OSBORN ROAD BUILDING 14SCOTTSDALEAZ8525615100%0%
235GLENDALE FAMILY HEALTH CENTER - DIALYSIS0325955141 WEST LAMAR ROADGLENDALEAZ8530115N/A
236NORTHEAST PHOENIX DIALYSIS (DSI)0325963305 EAST GREENWAY ROAD SUITE 1PHOENIXAZ8503215100%0%
237SAN CARLOS DIALYSIS (FMC)032597US 70 & AZ ROUTE 170PERIDOTAZ8554215100%0%
238MAMMOTH DIALYSIS (FMC)03259814786 SOUTH HIGHWAY 77 - POB 729MAMMOTHAZ8561815100%0%
239AHWATUKEE DIALYSIS (FMC)0325994629 EAST CHANDLER BOULEVARD SUITE 100PHOENIXAZ8504815100%0%
240SCOTTSDALE DIALYSIS CENTER (DVA)0326004725 NORTH SCOTTSDALE ROAD SUITE 100SCOTTSDALEAZ852511515%0%
241PALM BROOK DIALYSIS CENTER (DVA)03260114664 NORTH DEL WEBB BOULEVARDSUN CITYAZ8535115100%0%
242SOUTHWEST KIDNEY DIALYSIS - ARROWHEAD LAKES (DVA)03260420325 NORTH 51ST AVENUE SUITE 186 BUILDING 11GLENDALEAZ8530815100%0%
243SOUTHWEST KIDNEY DIALYSIS - GILBERT (DVA)0326055222 EAST BASELINE ROAD SUITE 104GILBERTAZ8523415100%0%
244AVONDALE DIALYSIS (FMC)03260710750 WEST MCDOWELL ROAD SUITE E500AVONDALEAZ8532315100%0%
245AVONDALE DIALYSIS (DSI)03260813055 WEST MCDOWELL ROAD SUITE F101AVONDALEAZ8539215100%5%
246SOUTHWEST KIDNEY DIALYSIS - TEMPE (DVA)0326092149 EAST WARNER ROAD SUITE 109 & SUITE 110TEMPEAZ8528415100%0%
247SOUTHEAST VALLEY DIALYSIS (FMC)03261022715 SOUTH ELLSWORTH ROAD SUITE DQUEEN CREEKAZ8514215100%0%
248SOUTHWEST KIDNEY DIALYSIS - PHOENIX (DVA)032611337 EAST CORONADO ROAD SUITE 101PHOENIXAZ8500415100%0%
249SOUTHWEST KIDNEY DIALYSIS - ESTRELLA (DVA)0326128410 WEST THOMAS ROAD SUITE 100 BUILDING 1PHOENIXAZ8503715100%0%
250NORTHWEST TUCSON DIALYSIS (FMC)0326136261 NORTH LA CHOLLA BOULEVARD SUITE 181TUCSONAZ8574115100%2%

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makrant makrant

created Mar 29, 2013

updated Dec 11, 2014

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