Organization
CENTRAL IOWA DIALYSIS PARTNERS LLC
Active
Other names
East Des Moines 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
1201 PENNSYLVANIA AVE, DES MOINES, IA 50316-2339
(515) 783-6342
(319) 253-3792
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6814
(800) 293-8405
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
—
0620005
—
IA
Enumeration date
03/01/2006
Last updated
09/25/2024
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