OrganizationActive
Green Country Dialysis LLC
NPI 1881975662 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Davenport, IA
Provider details
- NPI number
- 1881975662
- 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
5250 Utica Ridge Rd
Davenport, IA 52807-3872
Phone: (563) 355-7913
Fax: (563) 355-4007
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Green Country Dialysis
- Doing business as
- Green Country Dialysis
Registry dates
- Enumerated
- 2011-09-07
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.