Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Other names
Atmore Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D. WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
807 E CRAIG ST, ATMORE, AL 36502
(251) 368-5593
(251) 446-1950
Mailing address
5200 VIRGINIA WAY, ATT: 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
S2703
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790740793
—
AL
Enumeration date
04/20/2006
Last updated
11/25/2022
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