Organization
RAI CARE CENTERS OF NEBRASKA II, LLC
Active
Parent organization
RENAL ADVANTAGE INC.
Other names
RAI-North Healthy Way-Fremont
Organization subpart
Yes
Provider details
NPI number
Legal business name
RENAL ADVANTAGE INC.
Authorized official
MR. JON M SUNDOCK (VICE PRESIDENT)
(615) 507-3307
Entity
Organization
Contact information
Practice address
2660 NORTH HEALTHY WAY, FREMONT, NE 68025-2318
(402) 721-1158
(402) 721-0324
Mailing address
1550 W. MCEWEN DRIVE, SUITE 500, FRANKLIN, TN 37067-1731
(615) 661-1100
(615) 507-3300
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
—
10025309100
—
NE
01
—
60102
BCBS
NE
01
—
A6810501
JOHN DEERE
NE
Enumeration date
10/03/2006
Last updated
02/15/2011
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