Organization
ROUTT DIALYSIS LLC
Active
Other names
Carson City Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
3246 N CARSON ST, STE 110, CARSON CITY, NV 89706-0248
(775) 886-6450
(775) 886-6452
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
6045ESR
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669612347
—
NV
Enumeration date
02/20/2009
Last updated
08/23/2024
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