Organization
RENAL TREATMENT CENTERS-ILLINOIS INC
Active
Other names
Richfield Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
6601 LYNDALE AVE S, SUITE 150, RICHFIELD, MN 55423-2490
(612) 869-2118
(612) 869-2219
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
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
—
4315693000
—
MN
Enumeration date
04/13/2006
Last updated
02/10/2025
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