Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Providence Kidney & Hypertension before sending sensitive documents. FaxFlow is not affiliated with this organization.
Providence Kidney & Hypertension fax number
(740) 915-7253
Nephrology / Kidney Care
Used for: Physician referral submission for nephrology consultation
Fax destination details
- Department
- Nephrology / Kidney Care
- Purpose
- Physician referral submission for nephrology consultation
- Form
- Physician Referral Form 0622 — PHYSICIAN REFERRAL FORM
- Address
- 1406 Dickerson Street, Newark, OH 43055
- Voice phone
- 740-915-7475
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Download the Physician Referral Form 0622, complete patient and referring physician information, and fax the form with supporting medical records and insurance information to 740-915-7253.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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