Organization
NISENE DIALYSIS, LLC
Active
Other names
Park Rapids 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
110 7TH STREET W, PARK RAPIDS, MN 56470-1541
(218) 732-1000
(218) 732-4598
Mailing address
5200 VIRGINIA WAY, 4TH FLOOR L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2013
Last updated
02/27/2019
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