Organization · Type 2 NPI

Kimball Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Moosic, PA

NPI number 1770927436 Active

Practice location

3358 Birney Plz
Moosic, PA 18507-1560

Call (570) 344-1745 Map

Fax (570) 344-1097

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: 1770927436
Entity type: Organization (Type 2)
Issued: Apr 24, 2013
Last updated: Jun 24, 2025
Status: Active

Other names

<unavail>
Montage Home Dialysis · doing business as
Montage Home Dialysis · doing business as

Authorized official

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

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About NPI 1770927436

Kimball Dialysis LLC's National Provider Identifier is 1770927436, issued on Apr 24, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Moosic, PA. The record was last updated on Jun 24, 2025.