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RENAL TREATMENT CENTERS-SOUTHEAST LP. NPI 1902353543


NPI Information

NPI: 1902353543
Provider Name: RENAL TREATMENT CENTERS-SOUTHEAST, LP.

Doing Business As: DONNA DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D2120866

Address:
1006 E INTERSTATE HIGHWAY 2
DONNA, TX
ZIP 78537
Phone: (956) 461-2519
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RENAL TREATMENT CENTERS-SOUTHEAST, LP. is an end-stage renal disease (esrd) treatment clinic center in Donna, TX. RENAL TREATMENT CENTERS-SOUTHEAST, LP. NPI is 1902353543. The provider is registered as an organization entity type.
The provider Is Doing Business As Donna Dialysis.

The provider's business location address is:

1006 E INTERSTATE HIGHWAY 2
DONNA, TX
ZIP 78537-153
Phone: (956) 461-2519
Fax: (956) 461-2550

The provider's authorized official is Samuel Wey .
The authorized official title is Sr Director Licensure&certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 45D2120866 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2016 and was last updated on 9/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13853301-01MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.