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Cannon Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in York, PA · enumerated 2018 · authorized official Samuel Wey, Vp Licensure & Certification.

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

National Provider Identifier

1881170504

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Registry record

Entity type Organization (Type 2)
Legal business name Cannon Dialysis LLC
Other name <Unavail>
Practice address 1695 Roosevelt Ave, Ste A, York, PA, 17408
Phone (717) 767-0189
Fax (717) 767-0194
Enumeration date Jul 16, 2018
Last updated in NPPES Apr 26, 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
103704953 Medicaid PA -

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 Cannon Dialysis LLC?
The NPI for Cannon Dialysis LLC is 1881170504, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Cannon Dialysis LLC?
NPPES lists Samuel Wey (Vp Licensure & Certification) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-26.