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Bullock Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fairfield, OH · enumerated 2019 · authorized official Samuel Wey, Vp Licensure & Certification.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477018810

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Registry record

Entity type Organization (Type 2)
Legal business name Bullock Dialysis LLC
Other name <Unavail>
Practice address 1210 Hicks Blvd, Fairfield, OH, 45014
Phone (513) 939-1120
Fax (513) 939-1150
Enumeration date Feb 8, 2019
Last updated in NPPES Jul 12, 2024

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Samuel Wey
Title Vp Licensure & Certification
Phone (615) 341-6641

Other identifiers

Identifier Type State Issuer
0369058 Medicaid OH -

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.

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Frequently asked questions

What is the NPI number for Bullock Dialysis LLC?
The NPI for Bullock Dialysis LLC is 1477018810, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Bullock Dialysis LLC?
NPPES lists Samuel Wey (Vp Licensure & Certification) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-12.