Organization · Type 2 NPI

Gallatin Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Florissant, MO

NPI number 1225706484 Active

Practice location

22 Grandview Plaza, Shopping Center
Florissant, MO 63033-6105

Call (314) 949-3462 Map

Fax (314) 949-3492

Mailing address

5200 Virginia Way, L&c Department
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: 1225706484
Entity type: Organization (Type 2)
Issued: Sep 2, 2021
Last updated: Sep 26, 2024
Status: Active

Other names

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Cardinal Dialysis · doing business as
Cardinal Dialysis · doing business as

Authorized official

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

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About NPI 1225706484

Gallatin Dialysis LLC's National Provider Identifier is 1225706484, issued on Sep 2, 2021. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Florissant, MO. The record was last updated on Sep 26, 2024.