Organization
ISD PLAINFIELD LLC
Active
Other names
Plainfield 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
8110 NETWORK DR, PLAINFIELD, IN 46168-9024
(317) 838-8089
(317) 838-9062
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200827250L
—
IN
Enumeration date
02/12/2008
Last updated
09/08/2025
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