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EAST TENNESSEE DIALYSIS CENTER INC
NPI 1467581744
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Maryville, TN

Active since March 05, 2007
1629 E BROADWAY AVE, MARYVILLE, TN 37804(865) 681-2900(865) 980-0907 Get Directions Write a Review

NPPES record last updated: January 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Tennessee Dialysis Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST TENNESSEE DIALYSIS CENTER INC (NPI 1467581744) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Maryville, Tennessee and active in the NPI registry since March 2007. The organization lists Moeen A Hatab, Administrator, as its authorized official.

NPPES Registry Identity

NPI1467581744
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameEAST TENNESSEE DIALYSIS CENTER INC
Location Address1629 E BROADWAY AVEMaryville, TN 37804-2913
Mailing AddressPo Box 32094Knoxville, TN 37930 · (865) 681-2900 · Fax (865) 980-0907
Phone(865) 681-2900
Fax(865) 980-0907
Organization SubpartNo
Authorized OfficialMoeen A HatabAdministrator · (865) 681-2900
Enumeration DateMarch 5, 2007
Last NPPES UpdateJanuary 19, 2012
✔ NPI 1467581744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in TN · 0000000124
1629 E BROADWAY AVE, Maryville, TN 37804
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Other Identifiers 2

Medicare ID-Type Unspecified442636
Medicaid0442636TN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Tennessee Dialysis Center Inc's NPI number?

The NPI number for East Tennessee Dialysis Center Inc is 1467581744. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is East Tennessee Dialysis Center Inc located?

East Tennessee Dialysis Center Inc is located at 1629 E Broadway Ave, Maryville, TN 37804. The listed phone number is (865) 681-2900.

What is East Tennessee Dialysis Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for East Tennessee Dialysis Center Inc was last updated on January 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.