Renal Treatment Centers-Southeast, Lp. in Marianna - End-stage Renal Disease (esrd) Treatment
Renal Treatment Centers-Southeast, Lp. - NPI 1861469983
Renal Treatment Centers-Southeast, Lp. is a End-stage Renal Disease (esrd) Treatment in Marianna, Florida. Renal Treatment Centers-Southeast, Lp. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Renal Treatment Centers-Southeast, Lp. is 1861469983. The last update date is 2023-10-13.
Renal Treatment Centers-Southeast, Lp.'s current location address is 2930 Optimist Dr, Marianna, Florida. You can contact this provider via phone number 8504825328 and fax number 8504825329. The mailing address for Renal Treatment Centers-Southeast, Lp. is 2930 Optimist Dr, Marianna, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Renal Treatment Centers-Southeast, Lp. |
|---|---|
| Address | 2930 Optimist Dr, Marianna, Florida |
| Phone Number | 8504825328 |
| Fax Number | 8504825329 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR DIRECTO |
|---|---|
| Authorized Official Name | Wey T Samuel |
| Telephone Number | 6153416641 |
NPI Number Detail
| NPI Number | 1861469983 |
|---|---|
| Provider Enumeration Date | 2006-03-07 |
| Last Updated Date | 2023-10-13 |
Provider Mailing Address Detail
| Address | 2930 Optimist Dr |
|---|---|
| City | Marianna |
| State | Florida (FL) |
| Post Code | 324487703 |
| Phone Number | 8504825328 |
| Fax Number | 8504825329 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 210801104 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Renal Treatment Centers-Southeast, Lp. by the Centers for Medicare & Medicaid Services?
The Renal Treatment Centers-Southeast, Lp. has been issued the NPI (National Provider Identifier) 1861469983 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Renal Treatment Centers-Southeast, Lp. located?
The Renal Treatment Centers-Southeast, Lp. is located at 2930 Optimist Dr, Marianna, FL 324487703.
What is Renal Treatment Centers-Southeast, Lp.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Renal Treatment Centers-Southeast, Lp. is End-stage Renal Disease (esrd) Treatment, and the taxonomy classification code that categorizes this area of expertise is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861469983 to Renal Treatment Centers-Southeast, Lp.?
The Centers for Medicare & Medicaid Services originally issued the 1861469983 to Renal Treatment Centers-Southeast, Lp. on 2006-03-07.
When was the Renal Treatment Centers-Southeast, Lp.'s information last updated?
The Renal Treatment Centers-Southeast, Lp.'s information was last updated on 2023-10-13.