Organization
MAIZE DIALYSIS CENTER LLC
Active
Organization
MAIZE DIALYSIS CENTER LLC
Active
Other names
Maize Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E WEBB (MEDICAL DIRECTOR)
(316) 773-1400
Entity
Organization
Contact information
Practice address
10001 W GRADY AVE, MAIZE, KS 67101-3747
(316) 773-1400
(316) 773-1412
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-5893
(877) 850-7073
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
—
200545930B
—
KS
Enumeration date
07/20/2007
Last updated
06/04/2014
Update your record
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