Organization
ISD RENAL INC
Active
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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