Organization
NAMG HOME DIALYSIS LLC
Active
Other names
Riverside PD Central
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
3660 PARK SIERRA DR, STE 108, RIVERSIDE, CA 92505-3081
(951) 687-3900
(951) 687-7998
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-5895
(866) 890-5560
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013119064
—
CA
Enumeration date
06/01/2007
Last updated
12/27/2013
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