RENAL TREATMENT CENTERS SOUTHEAST LP


Address: 2620 W Highway 316, Citra, FL 32113
Phone: 3525914680

RENAL TREATMENT CENTERS SOUTHEAST LP (NPI# 1306814066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306814066
Entity Type Organization
Organization Name RENAL TREATMENT CENTERS SOUTHEAST LP
Other Organization Name OCALA REGIONAL KIDNEY CENTER NORTH
Practice Address 2620 W Highway 316
Citra
FL 32113
Mailing Address 5200 Virginia Way
L&c Dept.
Brentwood
TN 37027-7569
Practice Telephone 3525914680
Practice Fax Number 3525914679
Mailing Telephone 6153204593
Mailing Fax Number 8002935872
Enumeration Date 2006-03-09
Last Update Date 2020-08-03
Authorized Official Name JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334501
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL 890091400 05

Other Provider/Organization Names

Other Name Type Code
Ocala Regional Kidney Center North Doing Business As Name - Organization

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Office Location

Street Address 2620 W HIGHWAY 316
City CITRA
State FL
Zip Code 32113

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801398516 Martha R Rutley Chore Provider 3449 Ne 162nd St, Citra, FL 32113 2018-03-08
1396194528 Martha's Caring Homemakers and Companions Chore Provider 3449 Ne 162nd St., Citra, FL 32113 2016-06-08
1619180338 Barbara Anne Barnhill Massage Therapist 18558 N. E. 12 Court, Citra, FL 32113 2007-05-08
1407814890 Joanne Ruth Mcdevitt Counselor 130 Ne 189th Ln, Citra, FL 32113 2006-05-03
1235306853 Bessie Deniese Edwards Specialist 17434 Ne 18th Ave, Citra, FL 32113-0505 2008-05-13
1720505886 Mcdonald and Associates Counselor 1360 Ne 175th Street, Citra, FL 32113-1075 2017-08-29
1245686823 Jared Wannenwetsch Chiropractor 18155 Nw 24th Ave, Citra, FL 32113-2167 2016-05-12
1346541166 Susan Midtfjell Bonagura Physical Therapist 520 Ne 189th Ln, Citra, FL 32113-2217 2010-11-10
1447278197 Barbara Murphree Physician Assistant 17805 N Us Highway 301, Citra, FL 32113-2459 2006-07-18
1811547326 Callie Jo Phillips Physician Assistant 17805 N Us Highway 301, Citra, FL 32113-2459 2019-09-17
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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Competitor

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City CITRA
Zip Code 32113

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Dataset Information

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.

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