Organization
RENAL TREATMENT CENTERS ILLINOIS INC
Active
Other names
Bluff City Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
2400 LUCY LEE PKWY, STE E, POPLAR BLUFF, MO 63901-2429
(573) 686-2321
(573) 686-0847
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-5893
(877) 850-7073
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
—
502921802
—
MO
Enumeration date
03/28/2006
Last updated
10/22/2015
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