| NPI | 1417154998 |
|---|---|
| Doing Business As | CLARKSVILLE NORTH DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JOHN WINSTEL Chief Accounting Officer, Treasurer 253-733-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: TN 166) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2023-01-23 |