Organization
HAMPTON DIALYSIS LLC
Active
Other names
Emerald Coast 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
1112 HOSPITAL RD, FORT WALTON BEACH, FL 32547-6742
(850) 864-4850
(850) 864-4356
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4593
(800) 293-5872
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
—
101018800
—
FL
Enumeration date
08/18/2017
Last updated
08/08/2022
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