Organization
ISD RENAL INC
Active
Parent organization
DAVITA INC
Other names
Huntsville Metro Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVITA INC
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
2317 MEMORIAL PKWY SW STE 105, HUNTSVILLE, AL 35801-5623
(615) 238-3136
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 238-3136
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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