NATIONAL TRAIL DIALYSIS LLC NPI 1346535051

NPI Information

NATIONAL TRAIL DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Springfield, OH. NATIONAL TRAIL DIALYSIS LLC NPI is 1346535051. The provider is registered as an organization entity type.
The provider Is Doing Business As National Trail Dialysis.

The provider's business location address is:

171 S TUTTLE RD
SPRINGFIELD, OH
ZIP 45505-560
Phone: (937) 328-7399
Fax: (937) 328-7513

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 36D2027088 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2011 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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