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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