Organization · Type 2 NPI

Cheraw Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · San Pablo, CA

NPI number 1124443791 Active

Practice location

3380 San Pablo Dam Rd Ste C-D
San Pablo, CA 94803-7218

Call (510) 262-9230 Map

Fax (510) 262-9203

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: 1124443791
Entity type: Organization (Type 2)
Issued: Feb 19, 2014
Last updated: Oct 7, 2024
Status: Active

Other names

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El Sobrante Dialysis · doing business as
El Sobrante Dialysis · doing business as

Authorized official

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

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About NPI 1124443791

Cheraw Dialysis LLC's National Provider Identifier is 1124443791, issued on Feb 19, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in San Pablo, CA. The record was last updated on Oct 7, 2024.