Organization
ALEXANDRIA DIALYSIS LLC
Active
Other names
Shawnee Peritoneal Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
2810 N KICKAPOO AVE, SHAWNEE, OK 74804-1798
(405) 273-1599
(405) 273-1750
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-5893
(877) 850-7073
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2014
Last updated
05/18/2022
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