Organization · Type 2 NPI

Isd Renal Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Cookeville, TN

NPI number 1003390469 Active

Practice location

1843 Foreman Dr Ste 201
Cookeville, TN 38501-5933

Call (931) 372-2706 Map

Fax (931) 372-8421

Mailing address

5200 Virginia Way, L&c Department
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

Other end-stage renal disease (esrd) treatment clinic/center providers in Cookeville

See all in Cookeville →

NPI record

NPI: 1003390469
Entity type: Organization (Type 2)
Issued: Sep 21, 2018
Last updated: Sep 17, 2026
Status: Active

Other names

<unavail>
Foreman Drive Home Training · doing business as
Foreman Drive Home Training · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1003390469

Isd Renal Inc's National Provider Identifier is 1003390469, issued on Sep 21, 2018. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Cookeville, TN. The record was last updated on Sep 17, 2026.