Organization
DIALYSIS NEWCO INC
Active
Other names
DSI Louisville Renal Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY J. BAKER (MANAGED CARE COORDINATOR)
(615) 234-1188
Entity
Organization
Contact information
Practice address
635 S 3RD ST, LOUISVILLE, KY 40202-2401
(502) 561-1314
(502) 561-1840
Mailing address
424 CHURCH ST, SUITE 1900, NASHVILLE, TN 37219-2301
(615) 234-1188
(615) 234-9526
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
300115
KY
Other
Enumeration date
09/21/2011
Last updated
09/30/2011
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