Organization
SOLIDAGO DIALYSIS, LLC
Active
Other names
Sullivan Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2232 N HOSPITAL BLVD, STE 1, SULLIVAN, IN 47882-7674
(812) 268-5593
(812) 268-5693
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
—
300011243
—
IN
Enumeration date
07/14/2017
Last updated
02/18/2026
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