Organization
NEPTUNE ARTIFICIAL KIDNEY CENTER LLC
Active
Other names
Shore 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
300 W SYLVANIA AVE, STE 1, NEPTUNE, NJ 07753-6017
(732) 988-3684
(732) 988-2054
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6410
(888) 662-8259
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
80131
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6539505
—
NJ
Enumeration date
07/03/2006
Last updated
08/03/2020
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