Organization
RENAL TREATMENT CENTERS WEST INC
Active
Other names
Stillwater 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
406 E HALL OF FAME AVE STE 300, STILLWATER, OK 74075-5447
(405) 707-0408
(405) 624-6405
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
—
100733210G
—
OK
Enumeration date
04/04/2006
Last updated
06/11/2014
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