Organization
RENAL TREATMENT CENTERS ILLINOIS INC
Active
Other names
Hallwood Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER JR. (GROUP VICE PRESIDENT)
(253) 733-4500
Entity
Organization
Contact information
Practice address
4929 CLIO RD, SUITE B, FLINT, MI 48504-1886
(810) 787-4496
(810) 787-4602
Mailing address
5200 VIRGINIA WAY, L&C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961
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
—
4636229
—
MI
Enumeration date
04/01/2006
Last updated
05/31/2019
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