Dierks Dialysis LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Hartford, Connecticut
1619442639- Practice location
- 80 Seymour St, Hartford, CT 06106-3300
- Phone
- 860-244-2108
- Fax
- 860-244-2133
- Last updated
- October 20, 2026
Dierks Dialysis LLC is a healthcare organization based in Hartford, CT. Dierks Dialysis LLC practices in Hartford, CT. The NPI Number for Dierks Dialysis LLC is 1619442639. The current practice location address for Dierks Dialysis LLC is 80 Seymour St, Hartford, CT 06106-3300 and can be reached out via phone at 860-244-2108 and via fax at 860-244-2133.
Provider Profile Details
- NPI Number
- 1619442639
- Provider Name
- Dierks Dialysis LLC
- Provider Entity Type
- Organization
- Address
- 80 Seymour St, Hartford, CT 06106-3300
- Phone Number
- 860-244-2108
- Fax Number
- 860-244-2133
- Primary Taxonomy
- Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · 261QE0700X
- Organization Subpart
- No
- Authorized Official
- Samuel T Wey · Vp Licensure & Certification · 615-341-6641
- Other Names
- Hartford Downtown Dialysis (Doing Business As)
- Provider Enumeration Date
- October 5, 2018
- Last Update Date
- October 20, 2026
- Certification Date
- October 20, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 80 Seymour St
Hartford, CT 06106-3300 - City
- Hartford
- State
- Connecticut
- Zip
- 06106-3300
- Phone Number
- 860-244-2108
- Fax Number
- 860-244-2133
Provider Business Mailing Address Details
- Address
- 5200 Virginia Way
L & C Dept
Brentwood, TN 37027-7569 - City
- Brentwood
- State
- TN
- Zip
- 37027-7569
License Information
- Taxonomy
- Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · 261QE0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dierks Dialysis LLC?
The NPI number of Dierks Dialysis LLC is 1619442639. It was assigned on October 5, 2018 and is currently active in the NPPES registry.
What is the specialty of Dierks Dialysis LLC?
Dierks Dialysis LLC is registered under the primary taxonomy Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (code 261QE0700X).
Where does Dierks Dialysis LLC practice?
The practice location is 80 Seymour St, Hartford, CT 06106-3300. The office can be reached at 860-244-2108 (phone) or 860-244-2133 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619442639 directly on the NPPES registry website.