Organization
RENAL TREATMENT CENTERS-ILLINOIS INC
Active
Other names
Ohio Pike Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
1761 STATE ROUTE 125, AMELIA, OH 45102-2007
(513) 797-0713
(513) 797-0617
Mailing address
5200 VIRGINIA WAY, ATT: L&C DEPT, BRENTWOOD, TN 37027-7569
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
—
2952845
—
OH
Enumeration date
09/03/2008
Last updated
01/17/2025
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