Organization
DAVIS DIALYSIS LLC
Active
Other names
Sioux City Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
5865 SUNNYBROOK DR, SIOUX CITY, IA 51106-4203
(712) 274-8068
(712) 276-3877
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 341-6814
(800) 293-8405
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982947792
—
IA
Enumeration date
03/29/2013
Last updated
03/05/2020
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