Marysville Dialysis Center Llc in Brentwood - End-stage Renal Disease (esrd) Treatment
Marysville Dialysis Center Llc - NPI 1487617817
Marysville Dialysis Center Llc is a End-stage Renal Disease (esrd) Treatment in Brentwood, Tennessee. Marysville Dialysis Center Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Marysville Dialysis Center Llc is 1487617817. The last update date is 2023-11-27.
Marysville Dialysis Center Llc's current location address is 5200 Virginia Way, Brentwood, Tennessee. You can contact this provider via phone number 6152383085 and fax number 8002689682. The mailing address for Marysville Dialysis Center Llc is 5200 Virginia Way, Brentwood, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marysville Dialysis Center Llc |
|---|---|
| Address | 5200 Virginia Way, Brentwood, Tennessee |
| Phone Number | 6152383085 |
| Fax Number | 8002689682 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP, LICENS |
|---|---|
| Authorized Official Name | Wey T Samuel |
| Credentials | AO |
| Telephone Number | 6153416641 |
NPI Number Detail
| NPI Number | 1487617817 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
| Address | 5200 Virginia Way |
|---|---|
| City | Brentwood |
| State | Tennessee (TN) |
| Post Code | 370277569 |
| Phone Number | 6152383085 |
| Fax Number | 8002689682 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 110000524 |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1487617817 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Marysville Dialysis Center Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Marysville Dialysis Center Llc has been assigned the NPI (National Provider Identifier) 1487617817. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Marysville Dialysis Center Llc?
The Marysville Dialysis Center Llc is physically situated at 5200 Virginia Way, in the city of Brentwood, state of TN, with the postal code 370277569.
What is Marysville Dialysis Center Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Marysville Dialysis Center Llc is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that classifies this field of practice is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1487617817 to Marysville Dialysis Center Llc?
The Marysville Dialysis Center Llc received its 1487617817 assignment from the Centers for Medicare & Medicaid Services on 2006-04-07.
As of what date was the information pertaining to Marysville Dialysis Center Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Marysville Dialysis Center Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-11-27.