| NPI | 1346903770 |
|---|---|
| Doing Business As | YELLOWSTONE DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | SAM T WEY Sr Director Licensure/Certification 615-341-6691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2023-11-09 |