Organization
ELGIN DIALYSIS LLC
Active
Organization
ELGIN DIALYSIS LLC
Active
Other names
Muleshoe Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
1100 W AVENUE J, STE B, MULESHOE, TX 79347-4424
(806) 272-3122
(806) 272-4946
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6472
(866) 241-3490
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110155
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028115
KIDNEY CARE
TX
05
—
311256701
—
TX
Enumeration date
06/01/2012
Last updated
12/06/2013
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