Organization
HOVEN DIALYSIS LLC
Active
Other names
Rossmoyne 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
5072 RITTER RD, STE 104, MECHANICSBURG, PA 17055-4823
(717) 790-9039
(717) 790-9752
Mailing address
5200 VIRGINIA WAY, ATT: 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
—
1038198710001
—
PA
Enumeration date
03/21/2019
Last updated
07/30/2025
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