Organization
PHYSICIANS CHOICE DIALYSIS OF ALABAMA LLC
Active
Other names
Physicians Choice Dialysis - Elmore County
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER, TREASURER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
125 HOSPITAL DRIVE, WETUMPKA, AL 36092-1626
(334) 514-2037
(334) 514-9568
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4268
(877) 238-0567
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
S2601
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063476489
—
AL
01
—
S2601
STATE LICENSE
AL
Enumeration date
04/13/2006
Last updated
03/01/2023
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