RENAL TREATMENT CENTERS- SOUTHEAST LP NPI 1659674190

NPI Information

RENAL TREATMENT CENTERS- SOUTHEAST LP is an end-stage renal disease (esrd) treatment clinic center in Birmingham, AL. RENAL TREATMENT CENTERS- SOUTHEAST LP NPI is 1659674190. The provider is registered as an organization entity type.
The provider Is Doing Business As Crown Dialysis.

The provider's business location address is:

3007 27TH ST N
BIRMINGHAM, AL
ZIP 35207
Phone: (205) 297-0143
Fax: (205) 244-2769

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 01D2027515 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2010 and was last updated on 4/16/2021.

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

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