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Organization

RENAL LIFE LINK INC

Active
Other names
Cinema Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES K HILGER (GROUP VICE PRESIDENT)
(253) 733-4500
Entity
Organization

Contact information

Practice address
3909 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3405
(405) 631-3775
(405) 631-3739
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-5893
(877) 850-7073

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
200068400 A
OK
Enumeration date
04/20/2006
Last updated
05/02/2016
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