Organization
RENAL CENTER OF PASSAIC, 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
10 CLIFTON BLVD, SUITE 1, CLIFTON, NJ 07011-3802
(973) 594-9100
(973) 594-9119
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
22618
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8219401
—
NJ
Enumeration date
06/04/2006
Last updated
03/09/2015
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