Organization · Type 2 NPI

Vanderbilt University Medical Center

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

NPI number 1053449660 Active

Practice location

20 Rachel Drive
Nashville, TN 37214-3609

Call (615) 467-4070 Map

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	None listed
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed
General Acute Care Hospital	282N00000X	0000000146 (TN)

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

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NPI record

NPI: 1053449660
Entity type: Organization (Type 2)
Issued: Mar 2, 2007
Last updated: Mar 31, 2022
Status: Active

Other names

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Vanderbilt Dialysis Clinic - East · doing business as
Vanderbilt Dialysis Clinic - East · doing business as

Authorized official

Angela L Simmons, CPA
VP Finance-Revenue and Reimbursemen
(615) 936-8875

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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 1053449660

Vanderbilt University Medical Center's National Provider Identifier is 1053449660, issued on Mar 2, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Nashville, TN. The record was last updated on Mar 31, 2022.