Organization
RENAL TREATMENT CENTERS ILLINOIS INC
Active
Other names
Grundy Center 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
101 E J AVE, GRUNDY CENTER, IA 50638-2031
(319) 825-4730
(319) 825-4733
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6657
(866) 651-9495
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
—
1710209127
—
IA
Enumeration date
02/26/2010
Last updated
09/18/2015
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