Organization
ISD RENAL INC
Active
Other names
Amesbury Renal Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(615) 341-6374
Entity
Organization
Contact information
Practice address
24 MORRILL PL, AMESBURY, MA 01913-3530
(978) 388-7100
(978) 388-3666
Mailing address
5200 VIRGINIA WAY, LICENSURE & CERTIFICATION, BRENTWOOD, TN 37027-7569
(615) 341-6374
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
11/07/2012
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