Organization
ASHLEY DIALYSIS
Active
Other names
Renal Treatment ctrs southeast LP
Organization subpart
No
Provider details
NPI number
Authorized official
KENT THIRY CHAIRMAN (CEO)
(303) 876-6000
Entity
Organization
Contact information
Practice address
1423 PACIFIC AVE, TACOMA, WA 98402-4203
(253) 382-1752
Mailing address
1019 FRED LAGRONE DR, CROSSETT, AR 71635-4546
(870) 305-1225
(870) 305-1240
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
04D0987053
AR
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
1821332339
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200361134
—
AR
Enumeration date
04/07/2014
Last updated
04/07/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us