Organization
BIRCH DIALYSIS LLC
Active
Other names
Parma Heights Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
9050 N CHURCH DR, PARMA HEIGHTS, OH 44130-4701
(440) 842-0895
(440) 292-0234
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0892DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051993
—
OH
Enumeration date
02/04/2011
Last updated
11/01/2024
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