Organization · Type 2 NPI

Renal Life Link Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Louisville, KY

NPI number 1730123068 Active

Practice location

10201 Champion Farms Dr
Louisville, KY 40241-6150

Call (502) 425-2131 Map

Fax (502) 425-2151

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	300173 (KY)

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

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NPI record

NPI: 1730123068
Entity type: Organization (Type 2)
Issued: Jun 16, 2006
Last updated: May 10, 2024
Status: Active

Other names

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Springhurst Dialysis · doing business as
Springhurst 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 1730123068

Renal Life Link Inc's National Provider Identifier is 1730123068, issued on Jun 16, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Louisville, KY. The record was last updated on May 10, 2024.