Organization
COLLIER DIALYSIS LLC
Active
Other names
Vallejo Gateway Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
2341 BROADWAY, VALLEJO, CA 94589-1781
(707) 563-9447
(707) 654-3155
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 341-6282
(707) 654-3155
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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