Organization · Type 2 NPI

Renal Life Link Inc

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

NPI number 1932165867 Active

Practice location

1675 Alex Dr
Wilmington, OH 45177-2446

Call (937) 383-3338 Map

Fax (937) 383-3631

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	0690DC (OH)

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

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NPI record

NPI: 1932165867
Entity type: Organization (Type 2)
Issued: Apr 20, 2006
Last updated: Mar 30, 2026
Status: Active

Other names

<unavail>
Willow Dialysis Center · doing business as
Willow Dialysis Center · 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 1932165867

Renal Life Link Inc's National Provider Identifier is 1932165867, issued on Apr 20, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Wilmington, OH. The record was last updated on Mar 30, 2026.