Organization
RENAL CENTER OF BRICK, LLC
Active
Parent organization
RENAL VENTURES MANAGEMENT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RENAL VENTURES MANAGEMENT, LLC
Authorized official
RICHARD CHATFIELD (CHIEF EXECUTIVE OFFICER)
(303) 384-4000
Entity
Organization
Contact information
Practice address
150 BRICK BOULEVARD, BRICK, NJ 08723-7125
(732) 477-2247
(732) 477-3479
Mailing address
1626 COLE BLVD, STE 100, LAKEWOOD, CO 80401-3306
(303) 384-4000
(303) 273-5991
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
22820
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8956103
—
NJ
Enumeration date
05/26/2006
Last updated
03/13/2015
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