Cannon Dialysis LLC
Cannon Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in York, Pennsylvania. Medicare rates this dialysis facility 2 out of 5. Registered with an NPI since 2018.
- CMS rating
- 2 of 5
- In the registry since
- 2018
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
CMS quality rating
Practice location Address checks out
1695 Roosevelt Ave Ste AYork, PA 17408-8521
Phone: (717) 767-0189
Fax: (717) 767-0194
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 number | 1881170504 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Samuel Wey — Vp Licensure & Certification · (615) 341-6641 |
| Other names | Roosevelt Avenue Dialysis |
| NPI enumerated | July 16, 2018 |
| Last updated in NPPES | April 26, 2024 |
| Certification date | April 26, 2024 |
| Mailing address | 5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569 |
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