Organization
HAGERSTOWN DIALYSIS LLC
Active
Organization
HAGERSTOWN DIALYSIS LLC
Active
Other names
Washington County Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAM T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
246 EASTERN BLVD N, STE 104, HAGERSTOWN, MD 21740-5965
(301) 797-7839
(301) 393-9046
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
E2667
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4210867 00
—
MD
Enumeration date
04/02/2010
Last updated
03/09/2026
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