Renal Center of Storm Lake, LLC
NPI #1588611107 in Storm Lake, Iowa
Provider Information
- NPI Number
- 1588611107
- Entity Type
- Organization
- Organization Name
- Renal Center of Storm Lake, LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- May 28, 2006
- Last Updated
- Jun 10, 2024
Practice Location
- Address
- 1426 LAKE AVE
- City
- Storm Lake
- State
- Iowa
- ZIP Code
- 50588-1910
- Phone
- (712) 732-6900
Authorized Official
- Name
- SAMUEL T. WEY
- Title
- VP, LICENSURE & CERTIFICATION
- Phone
- (615) 341-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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