Organization
GEYSER DIALYSIS LLC
Active
Other names
Ankeny Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2625 N ANKENY BLVD, ANKENY, IA 50023-4704
(515) 963-3174
(515) 964-3620
Mailing address
5200 VIRGINIA WAY, 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
—
1972843738
—
IA
Enumeration date
02/15/2013
Last updated
12/02/2025
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