OrganizationActive
Bluegrass Dialysis LLC
NPI 1255566444 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Covington, KY
Provider details
- NPI number
- 1255566444
- 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
- 300215 (KY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1500 James Simpson Jr Way
Ste 1100
Covington, KY 41011-0802
Phone: (859) 261-4345
Fax: (859) 261-4378
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- 12th Street Covington Dialysis
Registry dates
- Enumerated
- 2009-05-18
- Last updated
- 2025-06-18
- Certified
- 2025-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.