Organization
MEADOWS DIALYSIS LLC
Active
Other names
North County Kidney Care 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
1554 SIERRA VISTA PLZ, SAINT LOUIS, MO 63138-2040
(314) 438-0864
(314) 355-1857
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
—
1295139459
—
MO
Enumeration date
10/17/2014
Last updated
05/16/2024
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