OrganizationActive
Lincolnton Dialysis LLC
NPI 1659708139 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Blaine, MN
Provider details
- NPI number
- 1659708139
- 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
10994 Baltimore St Ne
Blaine, MN 55449-4601
Phone: (763) 786-5026
Fax: (763) 786-4138
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Central Avenue Dialysis
- Doing business as
- Central Avenue Dialysis
Registry dates
- Enumerated
- 2013-09-30
- Last updated
- 2025-02-04
- Certified
- 2025-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.