Organization · Type 2 NPI

Renal Treatment Centers-Southeast, Lp.

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Phenix City, AL

NPI number 1003870445 Active

Practice location

4391 Riverchase Dr
Phenix City, AL 36867-7519

Call (334) 298-0294 Map

Fax (334) 298-3538

Mailing address

5200 Virginia Way, L & C Department
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	S5702 (AL)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1003870445
Entity type: Organization (Type 2)
Issued: Apr 13, 2006
Last updated: Oct 14, 2026
Status: Active

Other names

<unavail>
Phenix City Dialysis Center · doing business as
Phenix City Dialysis Center · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

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About NPI 1003870445

Renal Treatment Centers-Southeast, Lp.'s National Provider Identifier is 1003870445, issued on Apr 13, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Phenix City, AL. The record was last updated on Oct 14, 2026.