Organization · Type 2 NPI

Marysville Dialysis Center LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Marysville, CA

NPI number 1487617817 Active

Practice location

1015 8th St
Marysville, CA 95901-5271

Call (530) 741-9801 Map

Fax (530) 741-9805

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	110000524 (CA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

NPI record

NPI: 1487617817
Entity type: Organization (Type 2)
Issued: Apr 7, 2006
Last updated: Nov 27, 2023
Status: Active

Other names

<unavail>
Marysville Dialysis Center · doing business as
Marysville Dialysis Center · doing business as

Authorized official

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

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1487617817

Marysville Dialysis Center LLC's National Provider Identifier is 1487617817, issued on Apr 7, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Marysville, CA. The record was last updated on Nov 27, 2023.