Organization · Type 2 NPI

Bastrop Dialysis LLC

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

NPI number 1720322571 Active

Practice location

3190 N County Road 25A
Troy, OH 45373-1337

Call (937) 332-3733 Map

Fax (937) 332-3794

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: 1720322571
Entity type: Organization (Type 2)
Issued: Nov 18, 2012
Last updated: Dec 17, 2025
Status: Active

Other names

<unavail>
Upper Valley Kidney Center · doing business as
Upper Valley Kidney Center · doing business as

Authorized official

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

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About NPI 1720322571

Bastrop Dialysis LLC's National Provider Identifier is 1720322571, issued on Nov 18, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Troy, OH. The record was last updated on Dec 17, 2025.