Organization
RENAL TREATMENT CENTERS ILLINOIS INC
Active
Organization
RENAL TREATMENT CENTERS ILLINOIS INC
Active
Other names
Madison 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
220 CLIFTY DR, UNIT K, MADISON, IN 47250-1696
(812) 265-2278
(812) 265-6458
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6657
(866) 651-9495
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
—
200024860D
—
IN
05
—
399341200
—
KY
Enumeration date
04/13/2006
Last updated
09/22/2015
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