Organization
SKAGIT DIALYSIS LLC
Active
Organization
SKAGIT DIALYSIS LLC
Active
Other names
Silicon Valley 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
725 RIDDER PARK DR, STE 10, SAN JOSE, CA 95131-2431
(408) 392-0390
(408) 392-0405
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
—
1104187202
—
CA
Enumeration date
06/05/2012
Last updated
02/26/2025
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