Organization · Type 2 NPI

Liberty RC Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Amherst, NY

NPI number 1104855311 Active

Practice location

3520 Main St, Ste 400
Amherst, NY 14226-3120

Call (716) 815-5715 Map

Fax (716) 815-5746

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...

NPI record

NPI: 1104855311
Entity type: Organization (Type 2)
Issued: Jul 1, 2006
Last updated: Sep 3, 2025
Status: Active

Other names

<unavail>
Cleve Hill Dialysis Center · doing business as
Cleve Hill Dialysis Center · doing business as

Authorized official

Samuel Wey
Assistant Secretary
(615) 341-6641

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About NPI 1104855311

Liberty RC Inc's National Provider Identifier is 1104855311, issued on Jul 1, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Amherst, NY. The record was last updated on Sep 3, 2025.