Organization · Type 2 NPI

Solidago Dialysis, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Sullivan, IN

NPI number 1619499225 Active

Practice location

2232 N Hospital Blvd, Ste 1
Sullivan, IN 47882-7674

Call (812) 268-5593 Map

Fax (812) 268-5693

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...

NPI record

NPI: 1619499225
Entity type: Organization (Type 2)
Issued: Jul 14, 2017
Last updated: Feb 18, 2026
Status: Active

Other names

<unavail>
Sullivan Dialysis · doing business as
Sullivan Dialysis · doing business as

Authorized official

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

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About NPI 1619499225

Solidago Dialysis, LLC's National Provider Identifier is 1619499225, issued on Jul 14, 2017. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Sullivan, IN. The record was last updated on Feb 18, 2026.