Organization
RENAL TREATMENT CENTERS WEST INC
Active
Other names
Snake River 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
1491 PARKWAY DRIVE, BLACKFOOT, ID 83221
(208) 785-1720
(208) 785-1709
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6814
(800) 293-8405
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
—
1083809289
—
ID
Enumeration date
09/11/2007
Last updated
08/08/2018
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