Organization
HIALEAH KIDNEY DIALYSIS LLC
Active
Other names
Hialeah Kidney Center
Organization subpart
No
Provider details
NPI number
Authorized official
JIM HILGER (VICE PRESIDENT)
(253) 382-1919
Entity
Organization
Contact information
Practice address
1401 E 4TH AVE, STE 105, HIALEAH, FL 33010-3504
(305) 884-8011
(305) 884-0041
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4521
(866) 594-2894
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
—
892672700
—
FL
Enumeration date
08/22/2007
Last updated
07/11/2008
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