institution
Green Country Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Davenport, Iowa
NPI 1881975662

Green Country Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, IA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Green Country Dialysis Llc practices in Davenport, IA. The NPI Number for Green Country Dialysis Llc is 1881975662 and holds a License No. (Iowa).

The current practice location address for Green Country Dialysis Llc is 5250 Utica Ridge Rd, Davenport, IA and can be reached out via phone at 563-355-7913 and via fax at 563-355-4007. You can also correspond with Green Country Dialysis Llc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-341-6814).

Location: 5250 Utica Ridge Rd, Davenport, IA, 37027-7569
institution
Provider Profile Details
NPI Number
1881975662
Provider Name
Green Country Dialysis Llc
Credential
Provider Entity Type
Organization
Address
5250 Utica Ridge Rd, Davenport, IA, 37027-7569
Phone Number
563-355-7913
Fax Number
563-355-4007
Provider Enumeration Date
09/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1881975662 05 IA
institution
Provider Business Practice Location Address Details
Address
5250 Utica Ridge Rd
City
State
Zip
52807-3872
Phone Number
563-355-7913
Fax Number
563-355-4007
person
Provider Business Mailing Address Details
Address
5200 Virginia Way
City
State
Zip
37027-7569
Phone Number
615-341-6814
Fax Number
800-293-8405
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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