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

Wallis Dialysis LLC

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1902270721

Wallis Dialysis LLC is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ravenna, Ohio. Registered with an NPI since 2015.

In the registry since
2015
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

600 Enterprise Pkwy
Ravenna, OH 44266-0001
Phone: (615) 341-6793
Fax: (866) 409-3229
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 number1902270721
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Hilger — Chief Accounting Officer · (253) 733-4500
Other names Ravenna Dialysis
NPI enumeratedNovember 17, 2015
Last updated in NPPESNovember 17, 2015
Mailing address5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

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