Organization
RENAL TREATMENT CENTERS WEST INC
Active
Other names
Hermiston Community Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1155 W LINDA AVE STE A, HERMISTON, OR 97838-9601
(541) 289-1122
(541) 289-1150
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
382544
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270
—
OR
Enumeration date
04/04/2006
Last updated
06/05/2025
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