Organization · Type 2 NPI

Renal Treatment Centers West Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Edmond, OK

NPI number 1609838952 Active

Practice location

50 S Baumann Ave
Edmond, OK 73034-5676

Call (405) 330-6646 Map

Fax (405) 330-6221

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...

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NPI record

NPI: 1609838952
Entity type: Organization (Type 2)
Issued: Apr 3, 2006
Last updated: Nov 30, 2023
Status: Active

Other names

<unavail>
Edmond Dialysis Center · doing business as
Edmond Dialysis Center · doing business as

Authorized official

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

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About NPI 1609838952

Renal Treatment Centers West Inc's National Provider Identifier is 1609838952, issued on Apr 3, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Edmond, OK. The record was last updated on Nov 30, 2023.