Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bullock Dialysis LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1477018810

Bullock Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fairfield, Ohio. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1210 Hicks Blvd
Fairfield, OH 45014-1921
Phone: (513) 939-1120
Fax: (513) 939-1150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1477018810
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wey — Vp Licensure & Certification · (615) 341-6641
Other names Fairfield Home Training Dialysis; Fairfield Home Training Dialysis
NPI enumeratedFebruary 8, 2019
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024
Mailing address5200 Virginia Way, Att: L&C Dept, Brentwood, TN 37027-7569

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