Organization
VANDERBILT UNIVERSITY MEDICAL CENTER
Active
Other names
Vanderbilt Home Dialysis Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA L SIMMONS CPA (VICE PRESIDENT, FINANCE)
(615) 936-8875
Entity
Organization
Contact information
Practice address
2906 FOSTER CREIGHTON DR STE 100, NASHVILLE, TN 37204-3733
(615) 936-8100
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
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
—
Q035149
—
TN
Enumeration date
07/31/2017
Last updated
01/06/2023
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