RENAL TREATMENT CENTERS-SOUTHEAST LP. NPI 1609127273

NPI Information

RENAL TREATMENT CENTERS-SOUTHEAST, LP. is an end-stage renal disease (esrd) treatment clinic center in Marion, AL. RENAL TREATMENT CENTERS-SOUTHEAST, LP. NPI is 1609127273. The provider is registered as an organization entity type.
The provider Is Doing Business As Perry County Dialysis.

The provider's business location address is:

611 E LAFAYETTE ST
MARION, AL
ZIP 36756-325
Phone: (334) 683-8519
Fax: (334) 683-4777

The provider's authorized official is John D. 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 01D2051739 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/24/2012 and was last updated on 12/15/2022.

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:

Other Identifiers

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

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