OrganizationActive
Renal Treatment Centers-Southeast, Lp.
NPI 1508100017 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · El Dorado, AR
Provider details
- NPI number
- 1508100017
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Samuel Wey, Vp Licensure & Certification
Practice location
620 W Grove St
El Dorado, AR 71730-4462
Phone: (870) 862-8788
Fax: (870) 862-5756
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Registry dates
- Enumerated
- 2012-11-21
- Last updated
- 2026-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.