Organization
CABALLO DIALYSIS LLC
Active
Other names
Hi Hat Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
17721 KY ROUTE 122, HI HAT, KY 41636-6624
(606) 377-6393
(606) 377-2674
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6657
(866) 651-9495
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
—
7100222460
—
KY
Enumeration date
11/04/2011
Last updated
05/18/2022
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