MEDICARE: NEW BAY DIALYSIS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	300169	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477794642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BAY DIALYSIS LLC

Provider Business Mailing Address
First Line	:	5200 VIRGINIA WAY
Second Line	:	L&C DEPT
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-7569
Country	:	US
Telephone Number	:	615-238-3051
Fax Number	:	800-246-8346

Provider Business Practice Location Address
First Line	:	240 PARKER DR
Second Line	:
City	:	LA GRANGE
State	:	KY
Zip	:	40031-1200
Country	:	US
Telephone Number	:	502-222-5527
Fax Number	:	502-225-6356

Authorized Official
Title or Position	:	VP LICENSURE & CERTIFICATION
Name	:	SAMUEL T WEY
Credential	:
Telephone Number	:	615-341-6641

Provider Enumeration Date	:	03/17/2009
Last Update Date	:	06/12/2024

Similar Medicare Providers

1659696912 — ANDREA D. GERMOND M.D.
Practice Location Address:

1101 MEDICARE CTR. BLVD. , HOSPITALIST DEPARTMENT
MARRERO, LA
70072

Practice Phone: 504-349-1656
Practice Fax: 504-349-1933

1508821471 — LA GRANGE DIALYSIS LLC
Practice Location Address:

240 PARKER DR
LA GRANGE, KY
40031-1200

Practice Phone: 502-222-5527
Practice Fax: 502-222-2258

1326070061 — DR. WINNIE C BOLING DMD
Practice Location Address:

214 PARKER DR
LAGRANGE, KY
40031-1200

Practice Phone: 502-222-2216
Practice Fax: 502-222-2116

1649320250 — MR. NICHOLAS A AUSTIN MSPT, OCS
Practice Location Address:

214 PARKER DR , SUITE B
LAGRANGE, KY
40031-1200

Practice Phone: 502-222-0280
Practice Fax: 502-222-0290

1225995038 — MRS. LILY LEE YOUNG LPA
Practice Location Address:

3001 KY-146 W HIGHWAY
LA GRANGE, KY
40031

Practice Phone: 800-367-5690
Practice Fax:

1518962356 — KENTUCKY CORRECTIONAL PSYCHIATRIC CENTER
Practice Location Address:

1612 DAWKINS RD
LA GRANGE, KY
40031-8729

Practice Phone: 502-222-7161
Practice Fax: 502-222-7798

Directions to “NEW BAY DIALYSIS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.