Organization
HEYBURN DIALYSIS LLC
Active
Other names
Hilliard Station Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2447 HILLIARD ROME RD, HILLIARD, OH 43026-8194
(614) 876-3610
(614) 876-3144
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101251
—
OH
Enumeration date
05/08/2013
Last updated
08/27/2024
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