Organization
RENAL TREATMENT CENTERS WEST INC
Active
Other names
Chickasha Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
228 S 29TH ST, CHICKASHA, OK 73018-2502
(405) 224-9901
(405) 224-9909
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100741140V
—
OK
Enumeration date
07/13/2006
Last updated
06/09/2025
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