Organization
WALKER DIALYSIS LLC
Active
Organization
WALKER DIALYSIS LLC
Active
Other names
Fremont 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
2599 STEVENSON BLVD, FREMONT, CA 94538-2315
(510) 796-4385
(510) 713-1249
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3058
(800) 268-9682
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
550001858
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407130602
—
CA
Enumeration date
10/06/2011
Last updated
03/07/2024
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