Organization · Type 2 NPI

Granue Dialysis LLC

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

NPI number 1043754542 Active

Practice location

1129 W Lincoln Hwy
Coatesville, PA 19320-1836

Call (610) 383-3866 Map

Fax (610) 384-5270

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...

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NPI record

NPI: 1043754542
Entity type: Organization (Type 2)
Issued: Dec 19, 2016
Last updated: Jun 13, 2024
Status: Active

Other names

<unavail>
Coatesville Dialysis · doing business as
Coatesville Dialysis · doing business as

Authorized official

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

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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.

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About NPI 1043754542

Granue Dialysis LLC's National Provider Identifier is 1043754542, issued on Dec 19, 2016. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Coatesville, PA. The record was last updated on Jun 13, 2024.