Organization
HOOPER DIALYSIS LLC
Active
Organization
HOOPER DIALYSIS LLC
Active
Other names
Walton Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
13250 SERVICE RD, WALTON, KY 41094-9565
(859) 485-0321
(859) 485-0327
Mailing address
5200 VIRGINIA WAY, 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100503650
—
KY
Enumeration date
08/31/2016
Last updated
07/08/2022
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