DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EAGLES DIALYSIS LLC

MEDICARE: EAGLES 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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number : 1487386702
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAGLES 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 :
Fax Number :
Provider Business Practice Location Address
First Line : 2195 IRON POINT RD
Second Line :
City : FOLSOM
State : CA
Zip : 95630-8707
Country : US
Telephone Number : 279-278-9702
Fax Number : 279-278-9735
Authorized Official
Title or Position : VP, LICENSURE & CERTIFICATION
Name : SAMUEL T. WEY
Credential :
Telephone Number : 615-341-6641
Provider Enumeration Date : 06/27/2022
Last Update Date : 04/08/2026

Similar Medicare Providers

1952391344 — HAMID KAZEROUNI ZADEH MD
Practice Location Address:
2155 IRON POINT RD
FOLSOM, CA
95630-8707
Practice Phone: 916-817-5200
Practice Fax:
1902889512 — DR. ROSE ARELLANES M.D.
Practice Location Address:
2155 IRON POINT RD , ADULT MEDICINE 2
FOLSOM, CA
95630-8707
Practice Phone: 916-817-5200
Practice Fax:
1851375307 — DR. ROGER MAR-TANG M.D.
Practice Location Address:
2155 IRON POINT RD
FOLSOM, CA
95630-8707
Practice Phone: 916-817-5200
Practice Fax:
1225074826 — SHIWAJI DATTATRAY PAWAR M.D.
Practice Location Address:
2155 IRON POINT RD
FOLSOM, CA
95630-8707
Practice Phone: 916-817-5438
Practice Fax: 916-817-5415
1295764926 — DEE JAY NERY MIRANDA MD
Practice Location Address:
2155 IRON POINT RD
FOLSOM, CA
95630-8707
Practice Phone: 916-817-5463
Practice Fax:
1609979772 — DIAN FORRESTER KOELZER FNP
Practice Location Address:
2155 IRON POINT RD
FOLSOM, CA
95630-8707
Practice Phone: 916-817-5659
Practice Fax:

Directions to “EAGLES 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.