Organization
ELKONSON DIALYSIS LLC
Active
Other names
Belle Vernon Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6691
Entity
Organization
Contact information
Practice address
350 TRI COUNTY LN, ROSTRAVER TOWNSHIP, PA 15012-1990
(724) 797-9163
(724) 797-9172
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6410
(888) 662-8259
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
—
103863430
—
PA
Enumeration date
03/11/2020
Last updated
01/11/2024
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