Organization
RENAL TREATMENT CENTERS SOUTHEAST LP
Active
Organization
RENAL TREATMENT CENTERS SOUTHEAST LP
Active
Other names
Davita Hokes Bluff Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
300 MEDICAL CENTER DR, STE 100, GADSDEN, AL 35903
(256) 492-4970
(256) 492-5543
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4268
(877) 238-0567
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
S2806
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152984
—
AL
Enumeration date
10/22/2012
Last updated
08/29/2018
Update your record
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