Organization
CAPTREE DIALYSIS LLC
Active
Other names
Sugar Creek Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
5100 REAGAN DRIVE, STE 10, CHARLOTTE, NC 28206-1353
(704) 921-9823
(704) 597-2902
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 320-4593
(800) 293-5872
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952833188
—
NC
Enumeration date
03/28/2017
Last updated
09/01/2020
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