OrganizationActive
Isd Renal Inc
NPI 1174579619 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · North Providence, RI
Provider details
- NPI number
- 1174579619
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp, Licensure & Certification(615) 341-6641
- License
- KDT00741 (RI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1635 Mineral Spring Ave
North Providence, RI 02904-4025
Phone: (401) 354-5340
Fax: (401) 353-7020
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- North Providence Renal Center
- Doing business as
- North Providence Renal Center
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2025-11-05
- Certified
- 2025-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.