Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Other names
Dialysis Systems of Covington
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
210 GREENBRIAR BLVD, COVINGTON, LA 70433-7235
(985) 875-1915
(985) 875-1918
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
065
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1165107
—
LA
Enumeration date
03/18/2006
Last updated
05/31/2023
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