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About your provider number

Your provider number is a unique identifier and can be found many places, including in field 21 of the CMS 2728, in field 51 of the UB 92 billing form, and on your clinic's Medicare certification form. It helps us maintain accurate data about your clinic. Your provider number will never appear on the Home Dialysis Central website.

Do you want your center listed? Enter your information here, and we'll add it to our database. Mandatory fields marked with *.

Clinic address details

Center name *
Address *
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Phone *
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Administrative details

Owner *
Provider number *
Contact *
Contact position *
Contact email *

Treatment details

Tell us which modalities you offer. CAPD CCPD/APD Conventional home hemo Daily home hemo Nocturnal home hemo In-center nocturnal

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