Organization · Type 2 NPI

Atlantic Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · North Mankato, MN

NPI number 1225573777 Active

Practice location

1802 Commerce Dr
North Mankato, MN 56003-1800

Call (507) 387-9095 Map

Fax (507) 345-4947

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: 1225573777
Entity type: Organization (Type 2)
Issued: Dec 19, 2016
Last updated: Nov 21, 2024
Status: Active

Other names

<unavail>
Mankato Uptown Dialysis · doing business as
Mankato Uptown Dialysis · doing business as

Authorized official

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

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About NPI 1225573777

Atlantic Dialysis LLC's National Provider Identifier is 1225573777, 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 North Mankato, MN. The record was last updated on Nov 21, 2024.