CAPTREE DIALYSIS LLC NPI 1952833188

NPI Information

CAPTREE DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Charlotte, NC. CAPTREE DIALYSIS LLC NPI is 1952833188. The provider is registered as an organization entity type.
The provider Is Doing Business As Sugar Creek Dialysis.

The provider's business location address is:

5100 REAGAN DRIVE
STE 10
CHARLOTTE, NC
ZIP 28206-353
Phone: (704) 921-9823
Fax: (704) 597-2902

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 34D2133099 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2017 and was last updated on 9/1/2020.

Taxonomy Codes

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