Organization
RENAL TREATMENT CENTERS-ILLINOIS INC.
Active
Other names
Hastings Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1900 N SAINT JOSEPH AVE, HASTINGS, NE 68901-2652
(402) 463-4893
(402) 463-7049
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD002
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134181563
—
NE
Enumeration date
04/03/2006
Last updated
04/18/2024
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