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RENAL TREATMENT CENTERS SOUTHEAST LP NPI 1255607024


NPI Information

NPI: 1255607024
Provider Name: RENAL TREATMENT CENTERS SOUTHEAST LP

Doing Business As: ANDALUSIA DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
757 S THREE NOTCH ST
ANDALUSIA, AL
ZIP 36420
Phone: (334) 222-1628
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RENAL TREATMENT CENTERS SOUTHEAST LP is an end-stage renal disease (esrd) treatment clinic center in Andalusia, AL. RENAL TREATMENT CENTERS SOUTHEAST LP NPI is 1255607024. The provider is registered as an organization entity type.
The provider Is Doing Business As Andalusia Dialysis.

The provider's business location address is:

757 S THREE NOTCH ST
ANDALUSIA, AL
ZIP 36420-403
Phone: (334) 222-1628
Fax: (334) 222-2658

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 enumeration date for this NPI number is 3/27/2012 and was last updated on 9/30/2020.


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) TreatmentS2101ALABAMAYes

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
1141573MEDICAIDALABAMA

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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