Renal Treatment Centers-Illinois Inc in Brentwood - End-stage Renal Disease (esrd) Treatment
Renal Treatment Centers-Illinois Inc - NPI 1770545725
Renal Treatment Centers-Illinois Inc is a End-stage Renal Disease (esrd) Treatment in Brentwood, Tennessee. Renal Treatment Centers-Illinois Inc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Renal Treatment Centers-Illinois Inc is 1770545725. The last update date is 2023-10-12.
Renal Treatment Centers-Illinois Inc's current location address is 5200 Virginia Way, Brentwood, Tennessee. You can contact this provider via phone number 6153416264 and fax number 8002972925. The mailing address for Renal Treatment Centers-Illinois Inc is 5200 Virginia Way, Brentwood, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Renal Treatment Centers-Illinois Inc |
|---|---|
| Address | 5200 Virginia Way, Brentwood, Tennessee |
| Phone Number | 6153416264 |
| Fax Number | 8002972925 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR DIRECTO |
|---|---|
| Authorized Official Name | Wey T Samuel |
| Telephone Number | 6153416641 |
NPI Number Detail
| NPI Number | 1770545725 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2023-10-12 |
Provider Mailing Address Detail
| Address | 5200 Virginia Way |
|---|---|
| City | Brentwood |
| State | Tennessee (TN) |
| Post Code | 370277569 |
| Phone Number | 6153416264 |
| Fax Number | 8002972925 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 133324134 | AR | -- | |
| 500492806 | MO | -- |
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What is the Renal Treatment Centers-Illinois Inc's 1770545725?
The Renal Treatment Centers-Illinois Inc's NPI (National Provider Identifier) Number is 1770545725. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Renal Treatment Centers-Illinois Inc located?
The Renal Treatment Centers-Illinois Inc is located at 5200 Virginia Way, Brentwood, TN 370277569.
What is the Renal Treatment Centers-Illinois Inc's specialty and taxonomy code?
The Renal Treatment Centers-Illinois Inc's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770545725 to Renal Treatment Centers-Illinois Inc?
The Renal Treatment Centers-Illinois Inc received its 1770545725 assignment from the Centers for Medicare & Medicaid Services on 2006-04-05.
When was the Renal Treatment Centers-Illinois Inc's information last updated?
The Renal Treatment Centers-Illinois Inc's information was last updated on 2023-10-12.