Organization
FIELDS DIALYSIS LLC
Active
Other names
Norwood 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
2300 WALL ST STE O, CINCINNATI, OH 45212-2789
(513) 531-2111
(513) 531-0236
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0939DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3139928
—
OH
Enumeration date
08/20/2010
Last updated
07/17/2024
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