NPI 1003390469

Isd Renal INC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Cookeville, TN

Practice location

Address: 1843 Foreman Dr STE 201, Cookeville, TN 38501-5933
Phone: (931) 372-2706
Fax: (931) 372-8421
Mailing address: 5200 Virginia Way L&c Department, Brentwood, TN 37027-7569

Authorised official

Name: Samuel T Wey
Title: Vp Licensure & Certification
Phone: (615) 341-6641

Registered specialties

End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QE0700X

Other Clinic/Center providers in Tennessee →

Registry record

NPI: 1003390469
Entity type: Organization
NPI issued: 21 Sep 2018
Record last updated: 15 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.