RENAL TREATMENT CENTERS WEST INC (NPI# 1033171368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033171368 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS WEST INC |
| Other Organization Name | CENTRAL TULSA DIALYSIS CENTER |
| Practice Address |
1124 S Saint Louis Ave Tulsa OK 74120-5413 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 9185855557 |
| Practice Fax Number | 9185853536 |
| Mailing Telephone | 6153204268 |
| Mailing Fax Number | 8772380567 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100741140U | 05 |
| Other Name | Type Code |
|---|---|
| Central Tulsa Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124509245 | Renal Treatment Centers West Inc | Clinic/Center | 6917 N May Ave, Oklahoma City, OK 73116-3238 | 2018-08-27 |
| 1609035997 | Renal Treatment Centers West Inc | Clinic/Center | 413 South 7th St, Oakes, ND 58474-1920 | 2008-06-03 |
| 1033383278 | Renal Treatment Centers West Inc | Clinic/Center | 1661 Hwy North 99, Ashland, OR 97520 | 2008-04-18 |
| 1083809289 | Renal Treatment Centers West Inc | Clinic/Center | 1491 Parkway Drive, Blackfoot, ID 83221 | 2007-09-11 |
| 1669569232 | Renal Treatment Centers West Inc | Clinic/Center | 501 Oak St, Leavenworth, KS 66048-2646 | 2006-10-06 |
| 1083639975 | Renal Treatment Centers West Inc | Clinic/Center | 228 S 29th St, Chickasha, OK 73018-2502 | 2006-07-13 |
| 1013932839 | Renal Treatment Centers West Inc | Clinic/Center | 334 South 13th Street, Burlington, CO 80807-2414 | 2006-07-13 |
| 1831153980 | Renal Treatment Centers West Inc | Clinic/Center | 1221 N 16th Ave, Yakima, WA 98902-1347 | 2006-04-14 |
| 1134183288 | Renal Treatment Centers West Inc | Clinic/Center | 2615 Sw Trenton St, Seattle, WA 98126-3745 | 2006-04-14 |
| 1447214598 | Renal Treatment Centers West Inc | Clinic/Center | 1236 Ahtanum Ridge Dr, Ahtanum Ridge Business Park, Union Gap, WA 98903-1813 | 2006-04-14 |
| Street Address |
1124 S SAINT LOUIS AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74120-5413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861558710 | Tamara R Snyder | Registered Nurse | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 | 2006-12-28 |
| 1396812723 | Donna Anderson | Physician Assistant | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 | 2006-11-29 |
| 1316013477 | John J Keveney Jr. | Internal Medicine | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144704321 | Quintella Delana Miller | Case Manager/Care Coordinator | 1043 E Easton St, Tulsa, OK 74120 | 2018-09-24 |
| 1689152092 | Charles Granger Jr. | Case Manager/Care Coordinator | 103 N Greenwood, Suite 320, Tulsa, OK 74120 | 2018-07-30 |
| 1174015598 | Debra Anne Beasley | Counselor | 1619 E. 13th St., Tulsa, OK 74120 | 2018-06-01 |
| 1649775701 | Cara Marie Cantu | Licensed Practical Nurse | 620 South Peoria, Tulsa, OK 74120 | 2018-03-29 |
| 1639558745 | Wei Te Li | Student in an Organized Health Care Education/Training Program | 1207 S Quaker Ave Apt 104, Tulsa, OK 74120 | 2015-05-21 |
| 1225434350 | Marcos Rivero | Community/Behavioral Health | 130 N. Greenwood, Suite 302, Tulsa, OK 74120 | 2014-11-18 |
| 1861742348 | Tamiika Jones | Social Worker | 1533 E 13th St, Apt B, Tulsa, OK 74120 | 2012-09-12 |
| 1730408097 | Teresa Lee Henshaw | Physical Therapist | 1125 S. Trenton, Hillcrest Medical Center- Kaiser Rehab. Center, Tulsa, OK 74120 | 2010-05-26 |
| 1194970384 | Kym Lynnette Lindsay | Speech-Language Pathologist | 1125 S Trenton Ave Fl 3, Tulsa, OK 74120 | 2008-12-01 |
| 1184872004 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 | 2008-09-04 |
| Find all providers in zip 74120 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1437590015 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 2845 E Skelly Dr, Tulsa, OK 74105-6221 | 2013-07-11 |
| 1548609480 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 8620 S. Lewis Ave., Tulsa, OK 74137-1267 | 2013-06-24 |
| 1487093720 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 2309 W Edison St, Suite A, Tulsa, OK 74127-5218 | 2013-06-20 |
| 1710140967 | Bio-medical Applications of Oklahoma, Inc. | Clinic/Center | 2309a W Edison St, Tulsa, OK 74127-5218 | 2008-07-08 |
| 1255509188 | Biomedical Application of Okla | Clinic/Center | 2309a West Edison, Tulsa, OK 74127-5218 | 2008-02-13 |
| 1902984156 | St. John Dialysis, LLC | Clinic/Center | 1923 East 21st Street, Tulsa, OK 74114-1402 | 2006-11-02 |
| 1528160710 | Dialysis Specialists of Tulsa, Inc. | Clinic/Center | 8260 S Lewis Ave, Tulsa, OK 74137-1267 | 2006-09-01 |
| 1700842655 | Greenwood Dialysis LLC | Clinic/Center | 1345 N Lansing Ave, Tulsa, OK 74106-5911 | 2006-04-20 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.