Organization · Type 2 NPI

Red Willow Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Willow Grove, PA

NPI number 1033427646 Active

Practice location

1849 Davisville Rd
Willow Grove, PA 19090-4111

Call (215) 659-3426 Map

Fax (215) 659-3547

Mailing address

5200 Virginia Way, L & C Dept
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...

Another provider at this address

Heiang Chien CheungRegistered Nurse Willow Grove, PA NPI 1376478222

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

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NPI record

NPI: 1033427646
Entity type: Organization (Type 2)
Issued: Sep 16, 2010
Last updated: Jan 22, 2026
Status: Active

Other names

<unavail>
Willow Grove Dialysis · doing business as
Willow Grove Dialysis · doing business as

Authorized official

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

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About NPI 1033427646

Red Willow Dialysis LLC's National Provider Identifier is 1033427646, issued on Sep 16, 2010. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Willow Grove, PA. The record was last updated on Jan 22, 2026.