Organization
BIG HORN BASIN REGIONAL DIALYSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM E WOOD II (PRESIDENT OF MEMBER)
(615) 327-3061
Entity
Organization
Contact information
Practice address
424 YELLOWSTONE AVE, SUITE 150, CODY, WY 82414-9309
(307) 578-2223
(307) 578-2217
Mailing address
1633 CHURCH ST, SUITE 500, NASHVILLE, TN 37203-2990
(615) 327-3061
(615) 329-2513
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2013
Last updated
07/15/2019
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