Organization
GREENWOOD DIALYSIS LLC
Active
Organization
GREENWOOD DIALYSIS LLC
Active
Other names
Greenwood Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAM T WEY (VICE PRESIDENT, LICENSURE & CERTIFI)
(615) 341-6691
Entity
Organization
Contact information
Practice address
1345 N LANSING AVE, TULSA, OK 74106-5911
(918) 585-8811
(918) 585-5506
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4268
(877) 238-0567
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
—
200070220A
—
OK
Enumeration date
04/20/2006
Last updated
11/21/2023
Update your record
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