Organization · Type 2 NPI
Renal Treatment Centers-Southeast, Lp.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Russellville, AR
NPI number
1285978627
Active
Practice location
3121 W 2nd Ct
Russellville, AR 72801-4504
Fax (479) 968-2260
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
Other end-stage renal disease (esrd) treatment clinic/center providers in Russellville
About NPI 1285978627
Renal Treatment Centers-Southeast, Lp.'s National Provider Identifier is 1285978627, issued on Nov 26, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Russellville, AR. The record was last updated on Jul 9, 2026.