Organization
LUFIELD DIALYSIS LLC
Active
Other names
Portland 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
2118 PORTLAND AVE, LOUISVILLE, KY 40212-1032
(502) 776-4371
(502) 772-7259
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3051
(800) 246-8346
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
300261
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100443160
—
KY
Enumeration date
03/20/2015
Last updated
10/04/2022
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