Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHADE DIALYSIS LLC
Active OrganizationSHADE DIALYSIS LLC is a End-Stage Renal Disease Treatment Facility organization located in WAGONER, Oklahoma. NPI 1215483862 is currently active in the NPPES registry. Verify at CMS.
End-Stage Renal Disease Treatment Facility · WAGONER, OK
Registration Details
- NPI Number
- 1215483862
- Provider Type
- Organization
- NPI Issued
- Sep 1, 2016 (9.9963908979211 yrs)
- Last Updated
- Aug 25, 2025
Practice Information
- Address
-
402 SOUTH WALL STREETWAGONER, OK, 744675003Browse OK providers · Browse ZIP 74467
- Phone
- 9184854363
- Fax
- 9184853043
- Primary Specialty
-
End-Stage Renal Disease Treatment Facility
261QE0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.