Green Country Dialysis LLC

NPI #1881975662 in Davenport, Iowa

Provider Information

NPI Number: 1881975662
Entity Type: Organization
Organization Name: Green Country Dialysis LLC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Sep 7, 2011
Last Updated: Sep 17, 2025

Practice Location

Address: 5250 UTICA RIDGE RD
City: Davenport
State: Iowa
ZIP Code: 52807-3872
Phone: (563) 355-7913

Authorized Official

Name: SAMUEL WEY
Title: VP LICENSURE & CERTIFICATION
Phone: (615) 341-6641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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