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Organization

CAPES DIALYSIS LLC

Active
Other names
Pulaski County 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
202 JOHN HARDEN DR, JACKSONVILLE, AR 72076-3775
(501) 982-1004
(501) 982-1068
Mailing address
5200 VIRGINIA WAY, L&C DEPT, 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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
190061134
AR
Enumeration date
01/20/2011
Last updated
02/17/2022
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