NORTH OKALOOSA DIALYSIS
NPI 1629046362
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Crestview, FL

Active since March 09, 2006
320 REDSTONE AVE W, CRESTVIEW, FL 32536(850) 683-5700(850) 683-5704 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2020, Jun 10, 2019 (2 updates tracked since 2019).

About North Okaloosa Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH OKALOOSA DIALYSIS (NPI 1629046362) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Crestview, Florida and active in the NPI registry since March 2006. The organization lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1629046362
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRENAL TREATMENT CENTERS SOUTHEAST LP
Location Address320 REDSTONE AVE WCrestview, FL 32536-6433
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4593 · Fax (800) 293-5872
Fax(850) 683-5704
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateMarch 9, 2006
Last NPPES UpdateApril 16, 20202 updates tracked since enumeration
NPPES CertifiedApril 16, 2020
NPI 1629046362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
320 REDSTONE AVE W, Crestview, FL 32536

Other Names 1

Doing Business AsNorth Okaloosa Dialysis

Other Identifiers 1

Medicaid891199100FL

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renal Treatment Centers Southeast LP's NPI number?

The NPI number for Renal Treatment Centers Southeast LP is 1629046362. It was assigned to this organization in the NPPES registry on March 9, 2006. The provider is doing business as North Okaloosa Dialysis.

Where is Renal Treatment Centers Southeast LP located?

Renal Treatment Centers Southeast LP is located at 320 Redstone Ave W, Crestview, FL 32536. The listed phone number is (850) 683-5700.

What is Renal Treatment Centers Southeast LP's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

What insurance does Renal Treatment Centers Southeast LP accept?

Health plans from Ambetter Health and Ambetter of Alabama list Renal Treatment Centers Southeast LP as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renal Treatment Centers Southeast LP was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.