Organization
RENAL TREATMENT CENTERS ILLINOIS INC
Active
Other names
Atlantic Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
1500 E 10TH ST, ATLANTIC, IA 50022
(712) 243-7485
(712) 243-7486
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
—
0625327
—
IA
Enumeration date
03/01/2006
Last updated
04/20/2020
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