Organization
ISD SUMMIT RENAL CARE LLC
Active
Other names
Summit Renal Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
73 MASSILLON RD, AKRON, OH 44312-1028
(330) 733-1861
(330) 733-4696
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3051
(800) 246-8346
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0543DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2118265
—
OH
Enumeration date
05/25/2006
Last updated
03/11/2024
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