Organization
CAPELVILLE DIALYSIS LLC
Active
Other names
Capelville Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
7008 E SHELBY DR, MEMPHIS, TN 38125-3416
(901) 757-5001
(901) 757-5263
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
—
0442692
—
TN
Enumeration date
01/19/2009
Last updated
03/24/2025
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