Organization
GROVE DIALYSIS LLC
Active
Organization
GROVE DIALYSIS LLC
Active
Other names
Dialysis of Warren County
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 280-9501
Entity
Organization
Contact information
Practice address
391 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103-7956
(270) 746-5374
(270) 746-5375
Mailing address
5200 VIRGINIA WAY, L&C DEPT-SUITE 400, BRENTWOOD, TN 37027-7569
(615) 341-6789
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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