OrganizationActive
Renal Treatment Centers-Southeast, Lp.
NPI 1194069617 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Warren, AR
Provider details
- NPI number
- 1194069617
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp Licensure & Certification(615) 341-6641
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
204 Bragg St
Warren, AR 71671-2500
Phone: (870) 226-7180
Fax: (870) 226-2488
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Bradley County Dialysis
- Doing business as
- Bradley County Dialysis
Registry dates
- Enumerated
- 2012-11-21
- Last updated
- 2024-01-17
- Certified
- 2024-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.