institution
Ravalli Dialysis, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Clarksville, Tennessee
NPI 1588118897

Ravalli Dialysis, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, TN and is specialized in End-Stage Renal Disease (ESRD) Treatment. Ravalli Dialysis, Llc practices in Clarksville, TN. The NPI Number for Ravalli Dialysis, Llc is 1588118897 and holds a License No. (Tennessee).

The current practice location address for Ravalli Dialysis, Llc is 1459 Fort Campbell Blvd, Clarksville, TN and can be reached out via phone at 931-552-6491 and via fax at 931-648-7946. You can also correspond with Ravalli Dialysis, Llc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-320-4514).

Location: 1459 Fort Campbell Blvd, Clarksville, TN, 37027-7569
institution
Provider Profile Details
NPI Number
1588118897
Provider Name
Ravalli Dialysis, Llc
Credential
Provider Entity Type
Organization
Address
1459 Fort Campbell Blvd, Clarksville, TN, 37027-7569
Phone Number
931-552-6491
Fax Number
931-648-7946
Provider Enumeration Date
08/04/2016
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
Q033487 05 TN
239 01 TN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1459 Fort Campbell Blvd
City
State
Zip
37042-3552
Phone Number
931-552-6491
Fax Number
931-648-7946
person
Provider Business Mailing Address Details
Address
1459 Fort Campbell Blvd
City
State
Zip
37042-3552
Phone Number
931-552-6491
Fax Number
931-648-7946
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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