Organization
RENAL TREATMENT CENTERS SOUTHEAST LP
Active
Organization
RENAL TREATMENT CENTERS SOUTHEAST LP
Active
Other names
Home Dialysis Options of Baldwin County
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
27880 N MAIN ST, STE A, DAPHNE, AL 36526-7080
(251) 626-1086
(251) 626-4056
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
S0205
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107341
—
AL
01
—
S0205
STATE LICENSE
AL
Enumeration date
09/27/2007
Last updated
07/05/2018
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