Organization
RENAL TREATMENT CENTERS WEST INC
Active
Other names
Renal Treatment Centers - Derby
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1635 E FREEDOM ST STE 100, DERBY, KS 67037-7702
(316) 618-9149
(316) 618-9150
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
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
—
100217360M
—
KS
Enumeration date
03/21/2006
Last updated
12/05/2024
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