RENAL TREATMENT CENTERS ILLINOIS INC


Address: 610 S 13th St, Norfolk, NE 68701-4969
Phone: 4023716055

RENAL TREATMENT CENTERS ILLINOIS INC (NPI# 1659640522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659640522
Entity Type Organization
Organization Name RENAL TREATMENT CENTERS ILLINOIS INC
Other Organization Name N.E. NEBRASKA DIALYSIS
Practice Address 610 S 13th St
Norfolk
NE 68701-4969
Mailing Address 5200 Virginia Way
L & C Dept
Brentwood
TN 37027-7569
Practice Telephone 4023716055
Practice Fax Number 4023717167
Mailing Telephone 6153204514
Mailing Fax Number 8665949961
Enumeration Date 2011-12-22
Last Update Date 2019-12-10
Authorized Official Name JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NE 100262715-00 05

Other Provider/Organization Names

Other Name Type Code
N.E. Nebraka Dialysis Doing Business As Name - Organization
N.E. Nebraska Dialysis Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
1603 W Prospect Ave, Norfolk, NE 687013683 4023792913 4023792952

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Office Location

Street Address 610 S 13TH ST
City NORFOLK
State NE
Zip Code 68701-4969

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700408465 Women's Empowering Life Line, Inc. Substance Abuse Rehabilitation Facility 200 South 13th St, Norfolk, NE 68701 2020-05-15
1093297103 Nicole Marie Owens Physician Assistant 2701 W. Norfolk Ave, Norfolk, NE 68701 2018-09-05
1326535410 Healing Hands of Nebraska, PC Otolaryngology Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 2018-04-16
1356864995 Nmg LLC Family Medicine 301 North 27th Street Suite 1, Norfolk, NE 68701 2017-07-25
1609396423 Alison Erin Pfeifer Physical Therapy Assistant 1220 W Benjamin Ave #4, Norfolk, NE 68701 2017-06-22
1568996148 Xanat Naranjo Registered Nurse 105 E. Norfolk Ave, Norfolk, NE 68701 2017-04-20
1194259945 Angela Cornett Licensed Practical Nurse 105 E. Norfolk, Norfolk, NE 68701 2017-04-19
1669906400 Melodie Ann Nielsen Registered Nurse 105 East Norfolk Ave, Norfolk, NE 68701 2017-04-19
1528519543 Women's Empowering Life Line Substance Abuse Rehabilitation Facility 910 West Park Avenue, Norfolk, NE 68701 2016-10-14
1174983100 Brooke Cemper Nurse Practitioner 2701 West Norfolk Ave, Norfolk, NE 68701 2016-03-03
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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1760004360 Renal Treatment Centers - Mid-atlantic, Inc. Clinic/Center 7525 Tidewater Dr Ste 37, Norfolk, VA 23505-3700 2020-05-18
1699034686 Total Renal Care Inc Clinic/Center 1817 E Little Creek Rd, Ste A, Norfolk, VA 23518-4203 2012-05-10
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1851495725 Bio-medical Applications of Virginia, Inc. Clinic/Center 5621 Tidewater Dr, Norfolk, VA 23509-1442 2006-09-12
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1740384312 Faith Regional Health Services Clinic/Center 1603 W Prospect Ave, Norfolk, NE 68701-3683 2006-09-12
1548224470 Renal Treatment Centers Mid Atlantic Inc Clinic/Center 962 Norfolk Sq, Norfolk, VA 23502-3235 2006-04-17
1861015406 Virginia Renal Holdings, LLC Clinic/Center 251 S Newtown Rd, Norfolk, VA 23502-5718 2020-05-18
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Competitor

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City NORFOLK
Zip Code 68701

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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