RENAL TREATMENT CENTERS SOUTHEAST LP (NPI# 1609127273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609127273 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS SOUTHEAST LP |
| Other Organization Name | PERRY COUNTY DIALYSIS |
| Practice Address |
611 E Lafayette St Marion AL 36756-2325 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 3346838519 |
| Practice Fax Number | 3346834777 |
| Mailing Telephone | 6153204268 |
| Mailing Fax Number | 8772380567 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2020-05-08 |
| 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 |
S5301 | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 149097 | 05 |
| Other Name | Type Code |
|---|---|
| Perry County Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689176711 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1510 Eastern Blvd, Montgomery, AL 36117-1629 | 2018-03-05 |
| 1376075523 | Renal Treatment Centers Southeast Lp | Clinic/Center | 2443 Monarch Dr, Laredo, TX 78045-6329 | 2017-03-28 |
| 1134667264 | Renal Treatment Centers Southeast Lp | Clinic/Center | 2860 Us Highway 83, Zapata, TX 78076 | 2017-02-09 |
| 1528517752 | Renal Treatment Centers Southeast Lp | Clinic/Center | 404 S Veterans Blvd, Ste D, Edinburg, TX 78539 | 2016-09-29 |
| 1902353543 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1006 E Interstate Highway 2, Donna, TX 78537-4153 | 2016-09-01 |
| 1285087189 | Renal Treatment Centers Southeast Lp | Clinic/Center | 6626 Antoine Dr, Houston, TX 77091-1206 | 2016-07-15 |
| 1992134340 | Renal Treatment Centers Southeast Lp | Clinic/Center | 5406 Highway 280, Suite D107, Birmingham, AL 35242-6592 | 2013-11-06 |
| 1538503008 | Renal Treatment Centers Southeast Lp | Clinic/Center | 7580 Fannin St Ste 200, Houston, TX 77054-1900 | 2013-04-26 |
| 1881938207 | Renal Treatment Centers Southeast Lp | Clinic/Center | 115 Wrights St Ste A, Hot Springs, AR 71913-6240 | 2012-11-26 |
| 1891039210 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1114 W Washington St Nw, Camden, AR 71701-3827 | 2012-11-26 |
| Street Address |
611 E LAFAYETTE ST |
| City | MARION |
| State | AL |
| Zip Code | 36756-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861934705 | Allen R Stata | Social Worker | 104 Edwards Drive, Marion, AL 36756 | 2016-11-09 |
| 1770600066 | Vaughan Regional Medical Center LLC | Clinic/Center | Highway 45 South, Route 2, Box 4-d, Marion, AL 36756 | 2007-03-23 |
| 1639219173 | Lora N. Mims | Nurse Practitioner | Rr 2, Box 4d, Hwy 45 S, Marion, AL 36756 | 2007-02-07 |
| 1568550721 | William Shane Lee | Family Medicine | Hwy 45 South Route 2, Marion Clinic, Marion, AL 36756 | 2006-10-11 |
| 1003910399 | David W. Gann | Dentist | 1533 Alabama Hwy. 5 South, Marion, AL 36756 | 2006-09-08 |
| 1114395852 | Ashley Wagner | Nurse Practitioner | 1303 Washington St, Marion, AL 36756 | 2015-09-11 |
| 1881777985 | Jimmy C Cleveland Sr. | Dentist | 213 Washington St, Marion, AL 36756-0235 | 2006-10-23 |
| 1376740779 | Perry County | Local Education Agency (LEA) | 200 W Monroe St, Marion, AL 36756-2228 | 2007-06-28 |
| 1215989629 | Tom S. Alsabrook | Counselor | 104 Edwards St, Marion, AL 36756-2304 | 2006-05-16 |
| 1265750582 | Robert Wayne Williams | Counselor | 104 Edwards St, Marion, AL 36756-2304 | 2010-05-11 |
| Find all providers in zip 36756 | ||||
| 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 |
|---|---|---|---|---|
| 1669001038 | Honeyman Dialysis LLC | Clinic/Center | 701 Tama St Ste 150, Marion, IA 52302-4806 | 2020-04-07 |
| 1932651577 | Total Renal Care Inc | Clinic/Center | 2529 E Highway 76, Marion, SC 29571-6347 | 2016-10-31 |
| 1740635978 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 945 N Main St, Marion, VA 24354-4165 | 2016-04-25 |
| 1003222001 | Total Renal Care, Inc. | Clinic/Center | 1221 Delaware Ave, Marion, OH 43302-6419 | 2014-07-10 |
| 1396006292 | Monahans Dialysis LLC | Clinic/Center | 1587 N Main St, Marion, VA 24354-4317 | 2012-06-06 |
| 1720190556 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 109 Merritt Ct., Marion, SC 29571-4914 | 2006-08-31 |
| 1508971342 | Bio-medical Applications of Illinois, Inc. | Clinic/Center | 900 Skyline Dr, Suite 200, Marion, IL 62959-4972 | 2006-08-20 |
| 1710092556 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 1730 Marion Waldo Rd, Marion, OH 43302-7428 | 2006-08-20 |
| 1932118403 | Renal Life Link Inc | Clinic/Center | 324 S 4th St, Marion, IL 62959-1241 | 2006-08-05 |
| 1003861642 | Isd Renal Inc | Clinic/Center | 1120 State Highway 77 Ste 2, Marion, AR 72364-9046 | 2006-05-23 |
| Find all providers in MARION | ||||
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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.