RENAL TREATMENT CENTERS SOUTHEAST LP (NPI# 1689176711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689176711 |
Entity Type | Organization |
Organization Name | RENAL TREATMENT CENTERS SOUTHEAST LP |
Other Organization Name | MAJESTIC DIALYSIS |
Practice Address |
1510 Eastern Blvd Montgomery AL 36117-1629 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027 |
Practice Telephone | 3342608519 |
Practice Fax Number | 3342608371 |
Mailing Telephone | 6153204268 |
Mailing Fax Number | 8772380567 |
Enumeration Date | 2018-03-05 |
Last Update Date | 2019-11-14 |
Authorized Official Name | JAMES HILGER (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334500 |
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 |
---|---|---|---|
AL | 226213 | 05 |
Other Name | Type Code |
---|---|
Majestic Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1184968604 | Renal Treatment Centers Southeast Lp | Clinic/Center | 312 Professional Park Dr Ste H, Arkadelphia, AR 71923-5355 | 2012-11-21 |
Street Address |
1510 EASTERN BLVD |
City | MONTGOMERY |
State | AL |
Zip Code | 36117-1629 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447742168 | Renal Associates of Alabama, LLC | Nurse Practitioner | 1510 Eastern Blvd, Montgomery, AL 36117-1629 | 2018-05-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
Find all providers in zip 36117 |
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 |
---|---|---|---|---|
1902313430 | Sapphire Community Dialysis LLC | Clinic/Center | 8149 Decker Ln, Montgomery, AL 36117-4255 | 2018-01-05 |
1215451612 | Physicians Choice Dialysis of Montgomery LLC | Clinic/Center | 2201 E South Blvd, Montgomery, AL 36116-2404 | 2017-07-28 |
1437525714 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 506 3rd Ave, Montgomery, WV 25136-2102 | 2015-08-20 |
1992047450 | Farragut Dialysis, LLC | Clinic/Center | 2958 Dorchester Dr, Montgomery, AL 36116-3193 | 2013-03-22 |
1548527252 | Dialysis Clinic Inc. | Clinic/Center | 29 Mitylene Park Lane, Montgomery, AL 36117-7303 | 2012-04-19 |
1447531686 | Bio-medical Applications of Alabama Inc. | Clinic/Center | 100 Mitylene Park Ln, Montgomery, AL 36117-3758 | 2011-09-01 |
1710200274 | Dialysis Clinic Inc. | Clinic/Center | 1912 Cherry St., Montgomery, AL 36107-2607 | 2010-03-11 |
1780796532 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 255 S Jackson St, Montgomery, AL 36104-4405 | 2006-08-31 |
1457463168 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 3625 Mcgehee Place Dr N, Montgomery, AL 36111-3371 | 2006-08-31 |
1497788871 | Dialysis Clinic Inc. | Clinic/Center | 544 S Mcdonough St, Montgomery, AL 36104-4614 | 2006-07-08 |
Find all providers in MONTGOMERY |
City | MONTGOMERY |
Zip Code | 36117 |
Please comment or provide details below to improve the information on RENAL TREATMENT CENTERS SOUTHEAST LP.
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.