Isd Renal Inc
Isd Renal Inc is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jackson, MS, holding Type 2 (organization) NPI 1104871573 since 2006. The authorized official on file is Samuel Wey, Vp, Licensure & Certification.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104871573 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Isd Renal Inc |
| Other name | <Unavail> |
| Practice address | 1828 RAYMOND RD, Jackson, MS, 39204 |
| Phone | 6013737897 |
| Fax | 6013737899 |
| Enumeration date | 2006-05-24 |
| Last updated in NPPES | 2024-11-19 |
Authorized official
| Name | Samuel Wey |
|---|---|
| Title | Vp, Licensure & Certification |
| Phone | 6153416641 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00220062 | Medicaid | MS | — |
Copy-ready billing details
Provider: Isd Renal Inc NPI: 1104871573 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 1828 RAYMOND RD, Jackson, MS, 39204
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1598806895 | Charles Finch | Individual | Nephrology Physician | Jackson, MS |
| 1477695815 | C. David Finch, Jr., M.D. | Organization | Nephrology Physician | Jackson, MS |
| 1386991230 | Compassionate Hearts | Organization | Clinical Social Worker | Jackson, MS |
Verify this record
Cross-check NPI 1104871573 against the authoritative CMS record: view Isd Renal Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Isd Renal Inc?
What is the NPI number for Isd Renal Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-11-19.