Organization
CAPES DIALYSIS LLC
Active
Other names
Saline County Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL CHAIRMAN (CHIEF ACCOUNTING OFFICER)
(253) 373-3045
Entity
Organization
Contact information
Practice address
1700 HARRISON ST STE F, BATESVILLE, AR 72501-7315
(870) 307-0828
(870) 793-5466
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, 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
04D0962206
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189967134
—
AR
Enumeration date
04/07/2014
Last updated
04/21/2021
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