OrganizationActive
Renal Treatment Centers-Illinois Inc
NPI 1902873656 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Shenandoah, IA
Provider details
- NPI number
- 1902873656
- 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
300 Pershing Ave
Shenandoah, IA 51601-2355
Phone: (712) 246-5220
Fax: (712) 246-5226
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Shenandoah Dialysis
- Doing business as
- Shenandoah Dialysis
Registry dates
- Enumerated
- 2006-03-01
- Last updated
- 2025-04-18
- Certified
- 2025-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.