Organization
RENAL TREATMENT CENTERS WEST INC
Active
Other names
Interstate Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JIM HILGER (VICE PRESIDENT)
(253) 382-1919
Entity
Organization
Contact information
Practice address
334 SOUTH 13TH STREET, BURLINGTON, CO 80807-2414
(719) 346-6080
(719) 346-6087
Mailing address
5200 VIRGINIA WAY, STE 400, BRENTWOOD, TN 37027-7569
(615) 320-4435
(866) 317-3596
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
—
100217360V
—
KS
05
—
60556323
—
CO
Enumeration date
07/13/2006
Last updated
10/01/2008
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