| NPI | 1811959430 |
|---|---|
| Doing Business As | CLARKSVILLE DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JOHN D WINSTEL Chief Accounting Officer, Treasurer 253-733-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment (Licence: TN 108) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2023-01-23 |