Organization
RENAL TREATMENT CENTERS SOUTHEAST LP
Active
Other names
Limestone County Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 382-1919
Entity
Organization
Contact information
Practice address
16236 LUCAS FERRY RD, ATHENS, AL 35611-3931
(256) 233-3965
(256) 233-3184
Mailing address
5200 VIRGINIA WAY, 4TH FLOOR L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4230
(866) 376-5823
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
—
116470191
—
AL
Enumeration date
07/25/2011
Last updated
06/06/2012
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