Organization · Type 2 NPI

Renal Life Link Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Beavercreek, OH

NPI number 1689639502 Active

Practice location

3070 Presidential Dr Ste A
Beavercreek, OH 45324-6273

Call (937) 426-6475 Map

Fax (937) 426-2436

Mailing address

5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	0778DC (OH)

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

NPI record

NPI: 1689639502
Entity type: Organization (Type 2)
Issued: Apr 20, 2006
Last updated: Aug 14, 2026
Status: Active

Other names

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

Authorized official

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

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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 1689639502

Renal Life Link Inc's National Provider Identifier is 1689639502, issued on Apr 20, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Beavercreek, OH. The record was last updated on Aug 14, 2026.