Organization
RENAL TREATMENT CENTERS ILLINOIS INC
Active
Other names
New Albany 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
2669 CHARLESTOWN RD, SUITE F, NEW ALBANY, IN 47150-2573
(812) 542-1250
(812) 542-1403
Mailing address
5200 VIRGINIA WAY, 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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200024860E
—
IN
Enumeration date
04/13/2006
Last updated
06/06/2019
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