Organization
BURTIK DIALYSIS LLC
Active
Parent organization
DAVITA INC
Other names
Carroll Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVITA INC
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
311 S CLARK ST, CARROLL, IA 51401-3038
(712) 794-5278
(712) 794-5410
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/29/2025
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