Organization · Type 2 NPI

Star Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Medford, OR

NPI number 1265993620 Active

Practice location

50 Rossanley Dr
Medford, OR 97501

Call (541) 414-2437 Map

Fax (541) 414-2438

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...

Other end-stage renal disease (esrd) treatment clinic/center providers in Medford

Star Dialysis LLCEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Medford, OR NPI 1306077680

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NPI record

NPI: 1265993620
Entity type: Organization (Type 2)
Issued: Mar 28, 2019
Last updated: Aug 12, 2024
Status: Active

Other names

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Siskiyou Dialysis · doing business as
Siskiyou Dialysis · doing business as

Authorized official

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

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About NPI 1265993620

Star Dialysis LLC's National Provider Identifier is 1265993620, issued on Mar 28, 2019. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Medford, OR. The record was last updated on Aug 12, 2024.