Organization
COLUMBUS RNA DAVITA LLC
Active
Other names
Columbus East 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
299 OUTERBELT ST, COLUMBUS, OH 43213-1529
(614) 501-7224
(614) 501-5197
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2911497
—
OH
Enumeration date
04/17/2008
Last updated
01/14/2025
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