Organization
RENAL TREATMENT CENTERS-ILLINOIS INC.
Active
Other names
Buchanan County Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
1600 1ST ST E, INDEPENDENCE, IA 50644-3155
(319) 334-7437
(319) 334-7414
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6814
(800) 293-8405
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
—
1477877108
—
IA
Enumeration date
03/24/2010
Last updated
02/28/2022
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