Organization
MONAHANS DIALYSIS LLC
Active
Other names
Royal Oaks 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
1587 N MAIN ST, MARION, VA 24354-4317
(276) 781-0461
(276) 781-0527
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4214
(866) 944-3352
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
—
1396006292
—
VA
Enumeration date
06/06/2012
Last updated
12/01/2020
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