Organization
SUN CITY WEST DIALYSIS CENTER LLC
Active
Organization
SUN CITY WEST DIALYSIS CENTER LLC
Active
Other names
Westbrook Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
13907 W CAMINO DEL SOL, STE 103, SUN CITY WEST, AZ 85375-4405
(623) 214-7088
(623) 214-0109
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6814
(800) 293-8405
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
OTC4393
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361802
—
AZ
Enumeration date
09/11/2007
Last updated
12/29/2020
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