Organization
RIVER VALLEY DIALYSIS LLC
Active
Other names
Cold Spring 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
430 CROSS ROADS BLVD, COLD SPRING, KY 41076-2341
(859) 441-3981
(859) 441-4582
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
300185
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100041050
—
KY
Enumeration date
11/13/2006
Last updated
05/29/2024
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