Organization
FRONTENAC DIALYSIS LLC
Active
Other names
Eynon 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
260 SCRANTON CARBONDALE HWY, EYNON, PA 18403-1029
(570) 876-1874
(570) 876-6894
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
—
1031048610001
—
PA
Enumeration date
06/11/2015
Last updated
08/25/2025
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