Organization
DESCHUTES DIALYSIS LLC
Active
Other names
Airways Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
5247 AIRWAYS BLVD, MEMPHIS, TN 38116-9401
(901) 345-0671
(901) 348-2068
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
01
—
0000000246
STATE LICENSE
TN
05
—
Q032766
—
TN
Enumeration date
02/07/2017
Last updated
01/23/2026
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