Organization
WOOTEN DIALYSIS LLC
Active
Other names
Carlisle Regional Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
419 VILLAGE DR STE 10, CARLISLE, PA 17015-6943
(717) 218-5104
(717) 241-0019
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
—
102844600 0001
—
PA
Enumeration date
10/02/2012
Last updated
04/10/2026
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