Organization
CREEK DIALYSIS LLC
Active
Other names
Calverton 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
4780 CORRIDOR PL, STE C, BELTSVILLE, MD 20705-1165
(301) 595-0231
(301) 595-3439
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
E2663
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4325028 00
—
MD
Enumeration date
12/11/2008
Last updated
02/10/2026
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