Organization · Type 2 NPI
Wissota Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Chatham, VA
NPI number
1235646845
Active
Practice location
13912 US Highway 29
Chatham, VA 24531-3669
Fax (434) 432-1785
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...
About NPI 1235646845
Wissota Dialysis LLC's National Provider Identifier is 1235646845, issued on Jan 4, 2018. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Chatham, VA. The record was last updated on Dec 11, 2023.