Organization · Type 2 NPI

Etowah Dialysis LLC

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

NPI number 1770948838 Active

Practice location

1220 3rd St
Whitehall, PA 18052-4905

Call (610) 266-1706 Map

Fax (610) 266-1574

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...

2 other providers at this address

Other end-stage renal disease (esrd) treatment clinic/center providers in Whitehall

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NPI record

NPI: 1770948838
Entity type: Organization (Type 2)
Issued: Dec 16, 2015
Last updated: Jul 10, 2026
Status: Active

Other names

<unavail>
ST Lukes Whitehall Dialysis · doing business as
ST Lukes Whitehall Dialysis · doing business as

Authorized official

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

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About NPI 1770948838

Etowah Dialysis LLC's National Provider Identifier is 1770948838, issued on Dec 16, 2015. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Whitehall, PA. The record was last updated on Jul 10, 2026.