Organization
RENAL CENTER OF SOMERVILLE, LLC
Active
Parent organization
RENAL VENTURES MANAGMENT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RENAL VENTURES MANAGMENT, LLC
Authorized official
RICHARD L CHATFIELD (CHIEF EXECUTIVE OFFICER)
(303) 384-4090
Entity
Organization
Contact information
Practice address
1 ROUTE 206 NORTH, SOMERVILLE, NJ 08876-4143
(908) 450-0396
(908) 450-0399
Mailing address
1626 COLE BOULEVARD, STE 100, LAKEWOOD, CO 80401-3306
(303) 384-4000
(720) 497-9700
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
23433
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088391
—
NJ
Enumeration date
09/05/2006
Last updated
03/13/2015
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