Organization
OSSIPPEE DIALYSIS LLC
Active
Other names
Merrimac 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
469 MERRIMAC TRL, WILLIAMSBURG, VA 23185-4819
(757) 258-3601
(757) 258-3605
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
—
1366924904
—
VA
Enumeration date
08/30/2018
Last updated
07/17/2025
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