RENAL TREATMENT CENTERS SOUTHEAST LP (NPI# 1891039210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891039210 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS SOUTHEAST LP |
| Other Organization Name | OUACHITA VALLEY DIALYSIS |
| Practice Address |
1114 W Washington St Nw Camden AR 71701-3827 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8708371330 |
| Practice Fax Number | 8708371423 |
| Mailing Telephone | 6153204268 |
| Mailing Fax Number | 8772380567 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | JOHN WINSTEL (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 |
|---|---|---|---|
| AR | 200360134 | 05 |
| Other Name | Type Code |
|---|---|
| Ouachita Valley 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 |
| 1184968604 | Renal Treatment Centers Southeast Lp | Clinic/Center | 312 Professional Park Dr Ste H, Arkadelphia, AR 71923-5355 | 2012-11-21 |
| Street Address |
1114 W WASHINGTON ST NW |
| City | CAMDEN |
| State | AR |
| Zip Code | 71701-3827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456854 | Teresa Mccann | Pharmacist | Brookshire's Pharmacy #85, 1345 Hwy 4 Spur Sw, Camden, AR 71701 | 2020-01-22 |
| 1366938870 | American Oncology Partners, P.a. | Internal Medicine | 115 Fairview Rd Sw, Camden, AR 71701 | 2018-07-09 |
| 1609236454 | Laquisha Kelley | Case Manager/Care Coordinator | 211 South Jackson Street, Camden, AR 71701 | 2016-03-07 |
| 1649654435 | Gerald Stinnett | Occupational Therapy Assistant | 431 Ouachita 51, Camden, AR 71701 | 2015-07-13 |
| 1902105232 | Joannie Phelps | Counselor | 301a Washington, Camden, AR 71701 | 2011-03-25 |
| 1053540732 | Judy Prince | Counselor | 115 Jefferson Sw, Camden, AR 71701 | 2009-07-02 |
| 1861641532 | Candace Bowen | Occupational Therapy Assistant | 1320 Maul North West Road, Camden, AR 71701 | 2008-09-17 |
| 1073739587 | Harmony Grove School District | Local Education Agency (LEA) | 401 Oua Rd 88, Camden, AR 71701 | 2007-04-17 |
| 1215055876 | Angela Mashel Rich | Counselor | 1269 California Sw, Camden, AR 71701 | 2007-03-26 |
| 1104954791 | Lisa H Stevens | Speech-Language Pathologist | 400 Maul Road, Camden, AR 71701 | 2007-03-02 |
| Find all providers in zip 71701 | ||||
| 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 |
|---|---|---|---|---|
| 1457463218 | Bio-medical Applications of Alabama Inc. | Clinic/Center | 229 Camden Byp, Camden, AL 36726-2217 | 2006-08-31 |
| 1801813548 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 7 Haile Ln, Camden, SC 29020-3754 | 2006-07-17 |
| 1164484770 | Total Renal Care Inc | Clinic/Center | 168 W Main St Ste A, Camden, TN 38320-1767 | 2006-04-06 |
| 1114992047 | Arkansas Nephrology Services, Ltd. | Clinic/Center | 1114 Washington N.w., Camden, AR 71701-3827 | 2006-02-22 |
| 1891044756 | Tyler Dialysis LLC | Clinic/Center | 1601 Haddon Ave, Camden, NJ 08103-3109 | 2012-09-06 |
| 1942450325 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 7 Haile Ln, Camden, SC 29020-3754 | 2008-09-23 |
| 1992798995 | Our Lady of Lourdes Medical Center, Inc | Clinic/Center | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092597 | Fort Smith Regional Dialysis Center, LLC | Clinic/Center | 256 Northridge Drive E, Van Buren, AR 72956 | 2020-08-06 |
| 1073010518 | Toltec Dialysis LLC | Clinic/Center | 2630 Donaghey Ave, Conway, AR 72032-0000 | 2018-04-11 |
| 1588102610 | Matheson Dialysis LLC | Clinic/Center | 9022 Landers Rd Ste E, North Little Rock, AR 72117-1599 | 2017-02-09 |
| 1871031211 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 115 E Peddicord St, Dermott, AR 71638-2314 | 2017-02-06 |
| 1821455494 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 505 Saint Mary St, Lake Village, AR 71653-1722 | 2016-01-27 |
| 1912399601 | Ozark Dialysis LLC | Clinic/Center | 404 Camp Rd, Pocahontas, AR 72455-1487 | 2015-03-04 |
| 1447640917 | Fidelity Home Dialysis Corporation | Clinic/Center | 9421 W Markham St, Little Rock, AR 72205-2240 | 2015-02-04 |
| 1386053296 | Arkansas Staff Assisted Hemodialysis,inc | Clinic/Center | 321 Terry Pond Cv, White Hall, AR 71602-8212 | 2014-08-05 |
| 1609291202 | Little Rock Renal Services LLC | Clinic/Center | 1910 John Barrow Rd, Little Rock, AR 72204-1448 | 2014-02-19 |
| 1396178471 | Renal Treatment Centers - Southeast Lp | Clinic/Center | 6115 Baseline Rd, Ste 100, Little Rock, AR 72209 | 2013-08-13 |
| Find all providers with the same taxonomy | ||||
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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.