Organization
ISD RENAL INC
Active
Other names
Butler Renal Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGERR (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
601 W NURSERY ST, BUTLER, MO 64730-1872
(660) 679-6513
(660) 679-6517
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-5893
(877) 850-7073
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
—
200548640C
—
KS
05
—
505342501
—
MO
Enumeration date
05/26/2006
Last updated
10/26/2015
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