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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
751NORTHERN COLORADO HOME THERAPY DIALYSIS (FMC)0625805285 MCWHINNEY BOULEVARD #190LOVELANDCO8053815N/A10
752KIDNEY CENTER OF NORTHRIDGE (ARA)0625811865 WEST 121ST AVENUE, SUITE 300CWESTMINSTERCO8023415N/A10
753WEST LAKEWOOD DIALYSIS CENTER (DVA)06258211700 WEST 2ND PLACE, SUITE 325LAKEWOODCO8022815N/A10
754PARKER KIDNEY CENTER (ARA)06258318320 EAST COTTONWOOD DRIVE SUITE CPARKERCO8013815N/A10
755THE CHILDRENS HOSPITAL KIDNEY CTR.06330106231113123 EAST 16TH AVENUE #328AURORACO8004515N/A10
756HARTFORD HOSPITAL07002507230780 SEYMOUR STREET, JB8HARTFORDCT0610215%110
757NEW BRITAIN GENERAL HOSPITAL070035072310100 GRAND STREETDIALYSIS UNITNEW BRITAINCT0605010%1010
758BRIDGEPORT DIALYSIS072501900 MADISON AVENUEBRIDGEPORTCT0660613%410
759NEW HAVEN HOME DIALYSIS072503136 SHERMAN AVENUESuite 206NEW HAVENCT0651110%1010
760STAMFORD DIALYSIS07250430 COMMERCE ROADSTAMFORDCT0690210%1010
761DIALYSIS CENTER OF NEWINGTON072505375 WILLARD AVENUENEWINGTONCT0611110%1010
762ENFIELD DIALYSIS CENTER072506113 ELM STREETENFIELDCT0608210%1010
763NEW HAVEN DIALYSIS072507100 CHURCH STREET SOUTHSuite CNEW HAVENCT0651912%610
764CENTRAL CT DIALYSIS CENTER072508377 RESEARCH PARKWAYMERIDENCT0645010%1010
765EAST HARTFORD DIALYSIS CENTER072509200 PITKIN STREETEAST HARTFORDCT0610811%810
766SHELTON DIALYSIS072510750 BRIDGEPORT AVENUESHELTONCT0648410%1010
767GREATER WATERBURY DAVITA DIALYSIS072511209 HIGHLAND AVENUEWATERBURYCT0670810%1010
768ST. RAPHAEL DIALYSIS CENTER - NEW HAVEN072512137 WATER STREETDIALYSIS UNITNEW HAVENCT0651110%1010
769MILFORD DIALYSIS CENTER07251350 COMMERCE PARK DRIVEMILFORDCT064601N/A10
770MILFORD DIALYSIS072514470 BRIDGEPORT AVENUEMILFORDCT0646013%410
771NEW LONDON DIALYSIS0725155 SHAW'S COVESuite 100NEW LONDONCT0632010%1010
772HARTFORD DIALYSIS072516675 TOWER AVENUEHARTFORDCT0611210%1010
773BRANFORD DIALYSIS072517249 WEST MAIN STREETBRANFORDCT0640512%610
774PHYSICIANS DIALYSIS INC., - ROCKY HILL07251830 WATERCHASE DRIVEROCKY HILLCT0606710%1010
775UCONN DIALYSIS CENTER072519230 FARMINGTON AVENUEFARMINGTONCT0603210%1010
776NORWICH DIALYSIS072520113 SALEM TURNPIKENORWICHCT0636011%810
777SOUTH NORWALK DIALYSIS07252131 STEVENS STREETNORWALKCT0685610%1010
778SHORELINE DIALYSIS CENTER07252234 EAST INDUSTRIAL ROADBRANFORDCT0640510%1010
779TORRINGTON DIALYSIS072523780 LITCHFIELD STREET, SUITE 100C/O JOSEPH MARCANTONIO KIDNEY CENTERTORRINGTONCT0679010%1010
780MIDDLESEX DIALYSIS CENTER, LLC.072524100 MAIN STREET, SUITE AMIDDLETOWNCT0645710%1010
781FMC DIALYSIS SERVICES FORESTVILLE072527135 MIDDLE STREETBRISTOLCT0601010%1010
782BLOOMFIELD DIALYSIS07252829 GRIFFIN ROAD SOUTHBLOOMFIELDCT0600210%1010
783VERNON DIALYSIS CENTER072529460 HARTFORD TURNPIKEVERNON ROCKVILLECT0606610%1010
784WINDHAM DIALYSIS CENTER072530375-C TUCKIE ROADNORTH WINDHAMCT0625610%1010
785FMC OF HARTFORD0725313580 MAIN STREET, SUITE 3HARTFORDCT0612010%1010
786DSI NORTH HAVEN072532510 WASHINGTON AVENUENORTH HAVENCT0647310%1010
787DAVITA WATERBURY HEIGHTS DIALYSIS072533150 MATTATUCK HEIGHTSWATERBURYCT0670510%1010
788FRESENIUS MEDICAL CARE OF SOUTHINGTON072534341 WEST STREETPLANTSVILLECT0647910%1010
789BLACK ROCK DIALYSIS072535427 STILLSON ROADFAIRFIELDCT0682413%710
790FRESENIUS MEDICAL CARE OF FAIRFIELD072536500 KINGS HIGHWAYFAIRFIELDCT0682510%1010
791NORTH HAVEN DIALYSIS CENTER072537266 STATE STREET SUITE 2NORTH HAVENCT0647310%1010
792MANCHESTER DIALYSIS CENTER072538319 MAIN STREETMANCHESTERCT0604010%1010
793DSI ORANGE DIALYSIS072539240 INDIAN RIVER ROAD, SUITE DORANGECT0647710%1010
794FMC OF WESTERN HARTFORD072540725 PARK AVENUE,BLOOMFIELDCT0600210%1010
795WILLARD AVENUE DIALYSIS072541445E WILLARD AVENUENEWINGTONCT0611110%1010
796COMPREHENSIVE DIALYSIS CARE LLC07254261 POMEROY AVENUE BUILDING AMERIDENCT0645010%1010
797HAMDEN DIALYSIS0725433000 DIXWELL AVENUE SUITE 100HAMDENCT0651810%1010
798DANBURY DIALYSIS CENTER072544111 OSBORNE STREETSUITE 211DANBURYCT0681011%810
799FARMINGTON DIALYSIS07254511 SOUTH ROAD, SUITE 110FARMINGTONCT060321N/A10
800CHRISTIANA CARE HEALTH SYSTEM0800010823004755 OGLETON-STANTON ROADHEMODIALYSIS UNIT, CHRISTIANA HOSPITALNEWARKDE1971847%010

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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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