OrganizationActive
On Site Dialysis LLC
NPI 1801507702 · Hemodialysis Registered Nurse · Hernando, MS
Provider details
- NPI number
- 1801507702
- Entity type
- Organization
- Primary specialty
- Hemodialysis Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Amy Blagg, Credentialing(901) 821-0338
Specialties & taxonomies
Nursing Service Providers
Practice location
65 Wren St
Hernando, MS 38632-4433
Phone: (662) 806-7480
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 382926
Germantown, TN 38183-2926
Registry dates
- Enumerated
- 2022-12-12
- Last updated
- 2022-12-12
- Certified
- 2022-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.