Organization
ISD RENAL INC
Active
Other names
Spokane Valley Renal 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
12610 E MIRABEAU PKWY, STE 100, SPOKANE VALLEY, WA 99216-1450
(509) 228-9933
(509) 228-9399
Mailing address
5200 VIRGINIA WAY, LICENSURE & CERTIFICATION, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2006
Last updated
06/13/2024
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