Organization
RENAL TREATMENT CENTERS WEST INC
Active
Other names
Stilwell Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (VICE PRESIDENT, CONTROLLER)
(253) 382-1919
Entity
Organization
Contact information
Practice address
RR 6 BOX 3330, STILWELL, OK 74960-9444
(615) 341-5846
(866) 480-7876
Mailing address
5200 VIRGINIA WAY, STE 400, BRENTWOOD, TN 37027-7569
(615) 320-4435
(303) 209-7821
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
—
100733210G
—
OK
Enumeration date
04/04/2006
Last updated
03/23/2011
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