Organization
RENAL TREATMENT CENTERS WEST INC
Active
Other names
Durant Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
411 WESTSIDE DR, DURANT, OK 74701-2932
(580) 920-0808
(580) 920-0828
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
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
—
100733210K
—
OK
Enumeration date
04/03/2006
Last updated
07/24/2025
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