Organization
RENAL TREATMENT CENTERS- SOUTHEAST, LP
Active
Other names
Colonel Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
1830 LEE AVE SW STE B-D, CULLMAN, AL 35055-5268
(256) 736-9276
(256) 737-8966
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
—
213330
—
AL
Enumeration date
09/01/2016
Last updated
06/11/2021
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