Organization
HAWN DIALYSIS LLC
Active
Other names
Jersey City Summit Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
414 SUMMIT AVE, JERSEY CITY, NJ 07306-3101
(201) 420-8431
(201) 459-0967
Mailing address
5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6410
(888) 662-8259
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
—
0654671
—
NJ
Enumeration date
12/03/2015
Last updated
12/14/2020
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