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Anemia - Payment Year 2014

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
251KINGMAN DIALYSIS CLINIC (FMC)0326281739 EAST BEVERLY AVENUE SUITE 208KINGMANAZ86401150%1010
252SOUTH TUCSON DIALYSIS (FMC)0326292802 SOUTH 6TH AVENUETUCSONAZ85713150%1010
253BROOKWOOD DIALYSIS CLINIC (DVA)0326308910 NORTH 43RD AVENUE SUITE 107GLENDALEAZ85302150%1010
254OCOTILLO DIALYSIS (DVA)032631975 WEST CHANDLER HEIGHTS SUITE 101CHANDLERAZ85248150%1010
255RITA RANCH DIALYSIS (DVA)0326327355 SOUTH HOUGHTON ROAD SUITE 101TUCSONAZ85747150%1010
256SANTAN DIALYSIS (FMC)032633300 WEST HIGHWAY 287 SUITE 300FLORENCEAZ85232150%1010
257SOUTHWEST KIDNEY DIALYSIS - MARYVALE (DVA)0326344845 WEST MCDOWELL ROAD SUITE 10APHOENIXAZ85035150%1010
258GILBERT DIALYSIS (FMC)0326353511 MERCY ROAD SUITE 101GILBERTAZ85297150%1010
259DSI FLAGSTAFF0326362268 NORTH WALGREENS STREETFLAGSTAFFAZ8600415N/A10
260- WICKENBURG DIALYSIS (DVA)032637811 NORTH TEGNER STREET #101WICKENBURGAZ8539015N/A10
261PHOENIX CHILDRENS HOSPITAL- DIALYSIS CENTER0333020323141920 EAST CAMBRIDGE ROAD SUITE 102PHOENIXAZ8501615N/A10
262GILA RIVER DIALYSIS WEST0335039721 WEST PECOS RD- RR2, BOX 807LAVEENAZ85339150%1010
263ST BERNARDS REGIONAL MED CTR-DIALYSIS040020042303540 EAST WASHINGTONJONESBOROAR72401131%910
264BAPTIST HEALTH MED CTR - DIALYSIS0401140423099601 I 630 EXIT 7LITTLE ROCKAR7220513N/A10
265ARKANSAS CHILDRENS HOSPITAL-DIALYSIS0401170423101 CHILDRENS WAY-SLOT 204LITTLE ROCKAR7220213N/A10
266FT SMITH REGIONAL DIALYSIS CTR0425012201 BROOKEN HILL DRIVEFORT SMITHAR72908130%1010
267OUACHITA REGIONAL DIALYSIS CTR0425071900 MALVERN AVENUE SUITE 102HOT SPRINGSAR71901130%1010
268RIVER VALLEY KIDNEY CTR0425083121 WEST SECOND COURTRUSSELLVILLEAR72801130%1010
269FMCNA - HELENA042510108 D ANNA PLACEHELENAAR72342130%1010
270DEGRAY KIDNEY CTR042512312 PROFESSIONAL PARK DRIVE SUITE HARKADELPHIAAR71923132%810
271DAVITA - SPRINGHILL DIALYSIS0425133401 SPRINGHILL DRIVE SUITE 190SPRINGHILL MEDICAL PLAZANORTH LITTLE ROCKAR72117130%1010
272DAVITA - SEARCY DIALYSIS CTR0425143208 LANGLEY STREETSEARCYAR72143130%1010
273MAGNOLIA DIALYSIS CTR0425151411 NORTH JACKSONMAGNOLIAAR7175413N/A10
274DAVITA - CONWAY DIALYSIS CTR0425172445 CHRISTINA LANECONWAYAR72034131%910
275FMCNA - FAULKNER COUNTY042518201 SKYLINE DRIVE SUITE 32CONWAYAR72032130%1010
276FMCNA - LITTLE ROCK DIALYSIS04252110310 WEST MARKHAM SUITE 100LITTLE ROCKAR72205132%810
277OUACHITA VALLEY DIALYSIS0425251114 WASHINGTON NORTHWESTCAMDENAR71701132%810
278LAKE VILLAGE042527505 SAINT MARYS STREETLAKE VILLAGEAR71653130%1010
279FMCNA - EAST ARKANSAS042528310 SOUTH RHODESWEST MEMPHISAR72301130%1010
280DAVITA - HOT SPRINGS DIALYSIS042531115 WRIGHTS STREETHOT SPRINGSAR71913131%910
281FMCNA - PINE BLUFF0425322801 SOUTH OLIVEJEFFERSON SQUARE STE 19PINE BLUFFAR71603130%1010
282FMCNA - ST FRANCIS COUNTY DIALYSIS042533210 BARROW HILL ROADFORREST CITYAR72335130%1010
283DAVITA - OSCEOLA RENAL CTR0425341420 WEST KEISER AVENUEOSCEOLAAR72370130%1010
284DAVITA - PULASKI COUNTY DX042535202 JOHN HARDIN DRIVEJACKSONVILLEAR72076130%1010
285SOUTH ARKANSAS DIALYSIS042536620 WEST GROVE STREETEL DORADOAR71730130%1010
286FMCNA - STUTTGART DIALYSIS0425372202 SOUTH MAIN STREETSTUTTGARTAR72160130%1010
287DAVITA - FAYETTEVILLE042539509 EAST MILLSAP SUITE 111FAYETTEVILLEAR72703130%1010
288DAVITA - BENTONVILLE0425401104 SOUTHEAST 30TH STREETBENTONVILLEAR72712130%1010
289FMCNA - MONTICELLO042543774 JORDAN DRIVEMONTICELLOAR71655130%1010
290DAVITA - SW ARKANSAS DIALYSIS-MAGNOLIA042545225 NORTH DUDNEYMAGNOLIAAR71753130%1010
291DAVITA - LITTLE ROCK MIDTOWN DIALYSIS042547#2 LILE COURT SUITE 102LITTLE ROCKAR72205130%1010
292DAVITA - NORTH LITTLE ROCK DIALYSIS CTR0425484505 EAST MCCAIN BOULEVARDNORTH LITTLE ROCKAR72117130%1010
293DAVITA - SILOAM SPRINGS042549500 SOUTH MOUNT OLIVE SUITE 107SILOAM SPRINGSAR72761130%1010
294FMCNA - BLYTHEVILLE0425501001 EAST MOULTRIEBLYTHEVILLEAR72315130%1010
295LEWISVILLE DIALYSIS CTR042551PO BOX 742LEWISVILLEAR7184513N/A10
296DAVITA - JACKSONVILLE CENTRAL DIALYSIS CTR042553400 T P WHITE DRIVEJACKSONVILLEAR72076130%1010
297DAVITA - JACKSON COUNTY DX0425541912 MCCLAINPRATT SQUARENEWPORTAR72112130%1010
298FMCNA - BENTON0425562101 CONGO ROADBENTONAR72015130%1010
299DAVITA - INDEPENDENCE COUNTY DX0425571700 HARRISON STREET SUITE FBATESVILLEAR72501130%1010
300DAVITA - SALINE COUNTY DIALYSIS042558GROUND LEVEL-1200 NORTH MAIN SUITE 2BENTONAR72015130%1010

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cms cms

created Oct 23, 2012

updated Jan 15, 2014

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

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