Organization
CONTINENTAL DIALYSIS CENTER OF SPRINGFIELD FAIRFAX INC
Active
Other names
CDC of Springfield
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICAITON)
(615) 341-6641
Entity
Organization
Contact information
Practice address
8003 FORBES PL STE 110, SPRINGFIELD, VA 22151-2215
(703) 321-7207
(703) 321-8658
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
—
4925351
—
VA
Enumeration date
04/14/2006
Last updated
06/19/2024
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