Organization
CHURCHILL DIALYSIS LLC
Active
Other names
Valley Baptist Raymondville 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
894 FM 3168, RAYMONDVILLE, TX 78580-4519
(956) 389-9084
(956) 689-1951
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
—
282733901
—
TX
Enumeration date
01/04/2011
Last updated
07/24/2024
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