Organization
WEST SACRAMENTO DIALYSIS LLC
Active
Other names
West Sacramento Dialysis 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
3450 INDUSTRIAL BLVD, STE 100, WEST SACRAMENTO, CA 95691-5053
(916) 371-4947
(916) 371-8845
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
—
1598896250
—
CA
Enumeration date
03/07/2007
Last updated
04/24/2025
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