Organization
FERNE DIALYSIS LLC
Active
Other names
Terre Haute 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
504 6TH AVE, TERRE HAUTE, IN 47807-1025
(812) 231-8560
(812) 232-8501
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164972550
—
IL
05
—
300012593
—
IN
Enumeration date
10/10/2016
Last updated
10/21/2025
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