Organization
MYRTLE DIALYSIS LLC
Active
Other names
Hudson 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
421 STAGELINE RD, HUDSON, WI 54016-7848
(715) 381-8240
(715) 381-8454
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
Enumeration date
02/25/2015
Last updated
05/06/2025
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