RENAL TREATMENT CENTERS-SOUTHEAST LP. NPI 1942496575

NPI Information

RENAL TREATMENT CENTERS-SOUTHEAST, LP. is an end-stage renal disease (esrd) treatment clinic center in Talladega, AL. RENAL TREATMENT CENTERS-SOUTHEAST, LP. NPI is 1942496575. The provider is registered as an organization entity type.
The provider Is Doing Business As Talladega Dialysis.

The provider's business location address is:

726 BATTLE ST E
STE A
TALLADEGA, AL
ZIP 35160-583
Phone: (256) 362-2332
Fax: (256) 362-2356

The provider's authorized official is Samuel T. 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 01D1075243 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2007 and was last updated on 3/6/2024.

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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