Organization · Type 2 NPI
Red Willow Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Philadelphia, PA
NPI number
1881911998
Active
Practice location
7198 Castor Ave
Philadelphia, PA 19149-1105
Fax (215) 745-0139
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...
4 other providers at this address
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About NPI 1881911998
Red Willow Dialysis LLC's National Provider Identifier is 1881911998, issued on Apr 28, 2010. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 15, 2026.