Organization
CHURCHILL DIALYSIS LLC
Active
Other names
Valley Baptist Harlingen 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
2220 HAINE DR, STE 40, HARLINGEN, TX 78550-8584
(956) 364-2789
(956) 423-3395
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
110068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026849
KIDNEY CARE
TX
05
—
282006001
—
TX
Enumeration date
01/04/2011
Last updated
04/10/2025
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