Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Other names
South Baldwin Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (SR DIRECTOR, LICENSURE & CERTIFICAT)
(615) 341-6641
Entity
Organization
Contact information
Practice address
150 W PEACHTREE AVENUE, FOLEY, AL 36535
(251) 943-4155
(251) 970-1005
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
S0202
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DIA2565D
—
AL
Enumeration date
04/20/2006
Last updated
09/12/2023
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