Organization · Type 2 NPI

Farragut Dialysis, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Montgomery, AL

NPI number 1992047450 Active

Practice location

2958 Dorchester Dr
Montgomery, AL 36116-3193

Call (334) 280-4980 Map

Fax (334) 280-1809

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	S5112 (AL)

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

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NPI record

NPI: 1992047450
Entity type: Organization (Type 2)
Issued: Mar 22, 2013
Last updated: Sep 11, 2024
Status: Active

Other names

<unavail>
Monarch Dialysis · doing business as
Monarch Dialysis · doing business as

Authorized official

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

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About NPI 1992047450

Farragut Dialysis, LLC's National Provider Identifier is 1992047450, issued on Mar 22, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Montgomery, AL. The record was last updated on Sep 11, 2024.