Organization
RENAL TREATMENT CENTERS WEST INC
Active
Other names
Altus Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
205 S PARK LN, STE 130, ALTUS, OK 73521-5755
(580) 482-1197
(580) 482-1198
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 320-4268
(877) 238-0567
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
—
100741140D
—
OK
Enumeration date
04/03/2006
Last updated
09/11/2018
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