NPI 1174579619

Isd Renal INC

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center North Providence, RI

Practice location

Address: 1635 Mineral Spring Ave, North Providence, RI 02904-4025
Phone: (401) 354-5340
Fax: (401) 353-7020
Mailing address: 5200 Virginia Way L & C Dept, 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 Licence KDT00741 (RI)

Other Clinic/Center providers in Rhode Island →

Registry record

NPI: 1174579619
Entity type: Organization
NPI issued: 26 May 2006
Record last updated: 5 Nov 2025

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.