Organization
CHAFFEE DIALYSIS LLC
Active
Other names
Phalen 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
862 ARCADE ST, SAINT PAUL, MN 55106
(651) 776-0466
(651) 776-7838
Mailing address
5200 VIRGINIA WAY, 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
—
1902392111
—
MN
Enumeration date
07/11/2018
Last updated
07/17/2025
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