Organization
RENAL TREATMENT CENTERS - ILLINOIS, INC.
Active
Other names
Minneapolis NE Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
1049 10TH AVE SE, MINNEAPOLIS, MN 55414-1312
(612) 331-6088
(612) 331-6090
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
—
395431500
—
MN
Enumeration date
04/13/2006
Last updated
04/22/2020
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