Organization
MACAB DIALYSIS LLC
Active
Other names
Garfield County Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
204 S VAN BUREN ST, ENID, OK 73703-5812
(580) 237-1264
(580) 237-1463
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 620-4268
(877) 238-0567
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
—
200770970A
—
OK
Enumeration date
02/24/2017
Last updated
02/24/2021
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