Organization
NATIONAL TRAIL DIALYSIS LLC
Active
Other names
National Trail 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
171 S TUTTLE RD, SPRINGFIELD, OH 45505-1560
(937) 328-7399
(937) 328-7513
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
—
0065537
—
OH
Enumeration date
06/10/2011
Last updated
09/04/2025
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