Organization
ISD RENAL INC
Active
Other names
Walker County Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
260 6TH AVE NW, JASPER, AL 35504-7419
(205) 384-6919
(205) 221-6415
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
S6401
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DIA2533D
—
AL
Enumeration date
05/25/2006
Last updated
11/16/2022
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