Organization
RENAL TREATMENT CENTERS SOUTHEAST LP
Active
Other names
Northshore Kidney Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
106 MEDICAL CENTER DR, SLIDELL, LA 70461-5575
(985) 690-6018
(985) 690-6074
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4521
(866) 594-2894
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
136
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06758064
—
LA
05
—
06758064
—
MS
Enumeration date
03/18/2006
Last updated
05/06/2014
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