WYLER DIALYSIS LLC NPI 1902047111

NPI Information

NPI: 1902047111
Provider Name: WYLER DIALYSIS LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
:
CLIA Number: 37D0895626
Address: 309 E GRAHAM AVE
PRYOR, OK
ZIP 74361
Phone: (918) 825-3100

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NPI Details

WYLER DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Pryor, OK. WYLER DIALYSIS LLC NPI is 1902047111. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

309 E GRAHAM AVE
PRYOR, OK
ZIP 74361-434
Phone: (918) 825-3100
Fax: (918) 825-3183

The provider's authorized official is Samuel 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 37D0895626 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2009 and was last updated on 9/22/2025.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200293980A	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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