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Organization

CONTINENTAL DIALYSIS CENTER OF SPRINGFIELD FAIRFAX INC

Active
Other names
Continental Dialysis Center of Alexandria
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization

Contact information

Practice address
5999 STEVENSON AVE, STE 100, ALEXANDRIA, VA 22304-3302
(703) 751-6115
(703) 751-3892
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
1528022720
VA
Enumeration date
04/14/2006
Last updated
04/14/2020
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