Organization
VANDERBILT UNIVERSITY MEDICAL CENTER
Active
Other names
Vanderbilt Dialysis Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA L SIMMONS CPA (VP FINANCE - REVENUE AND REIMBURSEM)
(615) 936-8875
Entity
Organization
Contact information
Practice address
2906 FOSTER CREIGHTON DR STE 100, NASHVILLE, TN 37204-3733
(615) 936-3676
(615) 467-4079
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
282N00000X
General Acute Care Hospital
0000000027
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442583
—
TN
Enumeration date
03/05/2007
Last updated
01/17/2023
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