Organization
SOUTHEASTERN INDIANA DIALYSIS LLC
Active
Other names
Rush County Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JIM HILGER (VICE PRESIDENT)
(283) 382-1919
Entity
Organization
Contact information
Practice address
1400 N CHERRY ST, RUSHVILLE, IN 46173-1097
(765) 932-4985
(765) 932-4716
Mailing address
5200 VIRGINIA WAY, STE 400 L&C, 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200942310 A
—
IN
Enumeration date
11/17/2008
Last updated
08/27/2009
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