Organization
PALMETTO DIALYSIS LLC
Active
Other names
Arnold 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
102 RICHARDSON XING, ARNOLD, MO 63010-6023
(636) 467-5619
(636) 467-5997
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6264
(800) 297-2925
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
—
1629336599
—
MO
Enumeration date
04/30/2012
Last updated
03/25/2024
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