Organization
PITTSBURGH DIALYSIS PARTNERS LLC
Active
Other names
Bethel Park Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
6000 ALICIA DR, BETHEL PARK, PA 15102-1850
(412) 833-2612
(412) 835-2527
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
05
—
1021811690007
—
PA
Enumeration date
02/07/2014
Last updated
10/10/2024
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