Organization
GARNER DIALYSIS LLC
Active
Other names
Iowa Falls Mary Greeley 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
701 WASHINGTON AVE, STE E, IOWA FALLS, IA 50126-2109
(641) 648-5241
(641) 648-3628
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
—
1275823098
—
IA
Enumeration date
04/13/2011
Last updated
12/04/2024
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