Organization
RIVER VALLEY DIALYSIS LLC
Active
Other names
Silverton 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
6929 SILVERTON AVE, CINCINNATI, OH 45236-3701
(513) 793-0555
(513) 793-4183
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
0647DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2845961
—
OH
05
—
3900032800
—
KY
Enumeration date
04/14/2006
Last updated
02/13/2025
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