Organization
PLATTE DIALYSIS LLC
Active
Other names
Redbird Smith Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
305 S J T STITES ST, SALLISAW, OK 74955-9302
(918) 235-0290
(918) 235-0351
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
—
200296340 D
—
OK
Enumeration date
03/07/2013
Last updated
06/18/2025
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