Organization
RENAL CENTER OF SOMERVILLE, LLC
Active
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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