RENAL CENTER OF STORM LAKE, LLC is an end-stage renal disease (esrd) treatment clinic center in Storm Lake, IA. RENAL CENTER OF STORM LAKE, LLC NPI is 1588611107. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Center Of Storm Lake.
The provider's business location address is:
1426 LAKE AVE
STORM LAKE, IA
ZIP 50588-910
Phone: (712) 732-6900
Fax: (712) 732-6906
The provider's authorized official is Samuel T Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 16D0960016 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/28/2006 and was last updated on 10/23/2023.