Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP
Active
Other names
Crown Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D. WINSTEL (CHIEF ACCOUNTING OFFICER, TREASURER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
3007 27TH ST N, BIRMINGHAM, AL 35207-4549
(205) 297-0143
(205) 244-2769
Mailing address
5200 VIRGINIA WAY, 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
S3729
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135477
—
AL
Enumeration date
12/06/2010
Last updated
05/18/2023
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