Organization
RENAL LIFE LINK INC
Active
Other names
Leitchfield 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
912 WALLACE AVE, STE 106, LEITCHFIELD, KY 42754-2405
(270) 230-0163
(270) 230-0173
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
300171
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39000807
—
KY
Enumeration date
04/20/2006
Last updated
08/15/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us