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RENAL TREATMENT CENTERS WEST INC NPI 1033171368


NPI Information

NPI: 1033171368
Provider Name: RENAL TREATMENT CENTERS WEST INC

Doing Business As: CENTRAL TULSA DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 37D0963542

Address:
1124 S SAINT LOUIS AVE
TULSA, OK
ZIP 74120
Phone: (918) 585-5557
Get Directions

RENAL TREATMENT CENTERS WEST INC is an end-stage renal disease (esrd) treatment clinic center in Tulsa, OK. RENAL TREATMENT CENTERS WEST INC NPI is 1033171368. The provider is registered as an organization entity type.
The provider Is Doing Business As Central Tulsa Dialysis Center.

The provider's business location address is:

1124 S SAINT LOUIS AVE
TULSA, OK
ZIP 74120-413
Phone: (918) 585-5557
Fax: (918) 585-3536

The provider's authorized official is Samuel Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 37D0963542 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2006 and was last updated on 11/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100741140UMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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