Organization
RENAL TREATMENT CENTERS-SOUTHEAST, LP.
Active
Other names
Gulf Shores Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
3947 GULF SHORES PKWY STE 150, GULF SHORES, AL 36542-2859
(251) 967-2205
(251) 967-2210
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
S0206
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111498
—
AL
Enumeration date
10/23/2008
Last updated
09/26/2025
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