Organization
BASTROP DIALYSIS LLC
Active
Other names
Dayton East Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 280-9501
Entity
Organization
Contact information
Practice address
1431 BUSINESS CENTER CT, DAYTON, OH 45410-3300
(937) 208-9050
(937) 208-9055
Mailing address
5200 VIRGINIA WAY, L&C DEPT 4TH FLOOR, BRENTWOOD, TN 37027-7569
(615) 320-4458
(877) 259-3316
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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