Organization
STAR DIALYSIS LLC
Active
Other names
Redwood 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
201 SW L ST, GRANTS PASS, OR 97526-2913
(541) 474-0776
(541) 474-0122
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, 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
—
500619834
—
OR
Enumeration date
08/04/2009
Last updated
07/02/2025
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