SOMERVILLE DIALYSIS
NPI 1730346933
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Somerville, TN

Active since May 16, 2008
12475 US HIGHWAY 64, SOMERVILLE, TN 38068(901) 466-1919(901) 466-1930 Get Directions Write a Review

NPPES record last updated: May 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2020, Jan 24, 2019, Oct 2, 2015 (3 updates tracked since 2015).

About Somerville Dialysis NPPES

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

SOMERVILLE DIALYSIS (NPI 1730346933) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Somerville, Tennessee and active in the NPI registry since May 2008. The organization lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1730346933
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSOMERVILLE DIALYSIS CENTER LLC
Location Address12475 US HIGHWAY 64Somerville, TN 38068-6029
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4514 · Fax (866) 594-9961
Fax(901) 466-1930
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateMay 16, 2008
Last NPPES UpdateMay 16, 20203 updates tracked since enumeration
NPPES CertifiedMay 16, 2020
NPI 1730346933 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
12475 US HIGHWAY 64, Somerville, TN 38068

Other Names 1

Doing Business AsSomerville Dialysis

Other Identifiers 3

Medicaid0442683TN
Medicaid176950134AR
Medicaid05677019MS

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 Somerville Dialysis Center LLC's NPI number?

The NPI number for Somerville Dialysis Center LLC is 1730346933. It was assigned to this organization in the NPPES registry on May 16, 2008. The provider is doing business as Somerville Dialysis.

Where is Somerville Dialysis Center LLC located?

Somerville Dialysis Center LLC is located at 12475 Us Highway 64, Somerville, TN 38068. The listed phone number is (901) 466-1919.

What is Somerville Dialysis Center LLC'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 Somerville Dialysis Center LLC was last updated on May 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.