OrganizationActive
Star Dialysis LLC
NPI 1265993620 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Medford, OR
Provider details
- NPI number
- 1265993620
- 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
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
50 Rossanley Dr
Medford, OR 97501
Phone: (541) 414-2437
Fax: (541) 414-2438
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Siskiyou Dialysis
- Doing business as
- Siskiyou Dialysis
Registry dates
- Enumerated
- 2019-03-28
- Last updated
- 2024-08-12
- Certified
- 2024-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.