Organization · Type 2 NPI

Etowah Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bethlehem, PA

NPI number 1457787715 Active

Practice location

1425 8th Ave
Bethlehem, PA 18018-2256

Call (484) 403-4304 Map

Fax (610) 866-1739

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...

3 other providers at this address

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

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NPI record

NPI: 1457787715
Entity type: Organization (Type 2)
Issued: Sep 18, 2013
Last updated: Nov 10, 2023
Status: Active

Other names

<unavail>
ST Lukes Bethlehem Dialysis · doing business as
ST Lukes Bethlehem Dialysis · doing business as

Authorized official

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

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About NPI 1457787715

Etowah Dialysis LLC's National Provider Identifier is 1457787715, issued on Sep 18, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Bethlehem, PA. The record was last updated on Nov 10, 2023.