Organization · Type 2 NPI

Smithgall Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Chilton, WI

NPI number 1114320660 Active

Practice location

425 Mb Lane
Chilton, WI 53014-1604

Call (920) 849-3390 Map

Fax (920) 849-3432

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: 1114320660
Entity type: Organization (Type 2)
Issued: Sep 29, 2014
Last updated: Jul 17, 2025
Status: Active

Other names

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

Authorized official

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

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About NPI 1114320660

Smithgall Dialysis LLC's National Provider Identifier is 1114320660, issued on Sep 29, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Chilton, WI. The record was last updated on Jul 17, 2025.