Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Other names
Perry County 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
611 E LAFAYETTE ST, MARION, AL 36756-2325
(334) 683-8519
(334) 683-4777
Mailing address
5200 VIRGINIA WAY, ATT: 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
S5301
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149097
—
AL
Enumeration date
09/24/2012
Last updated
12/15/2022
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