RENAL TREATMENT CENTERS SOUTHEAST LP NPI 1831155662

NPI Information

RENAL TREATMENT CENTERS SOUTHEAST LP is an end-stage renal disease (esrd) treatment clinic center in Chipley, FL. RENAL TREATMENT CENTERS SOUTHEAST LP NPI is 1831155662. The provider is registered as an organization entity type.
The provider Is Doing Business As Chipley Dialysis.

The provider's business location address is:

877 3RD ST
STE 2
CHIPLEY, FL
ZIP 32428-855
Phone: (850) 638-7783
Fax: (850) 638-8550

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 10D1050534 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2006 and was last updated on 5/11/2020.

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:

Other Identifiers

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