Organization
BRANTLEY DIALYSIS LLC
Active
Other names
Ridgecrest Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 382-1919
Entity
Organization
Contact information
Practice address
12249 ROJAS DR, EL PASO, TX 79928-7750
(915) 790-0839
(915) 858-1063
Mailing address
5200 VIRGINIA WAY, 4TH FLOOR, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4550
(866) 500-8578
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2011
Last updated
03/30/2011
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