Renal Treatment Centers Illinois INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Sandusky, OH. Organization (NPI-2).
NPI number1720179880
StatusActive
Last updated in NPPESFeb 20, 2008
Details
- NPI
- 1720179880
- Entity type
- Organization (NPI-2)
- Legal business name
- Renal Treatment Centers Illinois INC
- Organization subpart
- No
- Enumeration date
- Sep 27, 2006
- Last updated
- Feb 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 0841DC | OH | Yes |
Other names
- Sandusky Dialysis (Doing Business As)
Practice location
795 Bardshar RdSandusky, OH 44870-1505
Phone 419-609-1847 · Fax 419-609-1867
Mailing address
5200 Virginia WaySte 400 L&C
Brentwood, TN 37027-7569
Phone 615-320-4218 · Fax 303-209-7825
Authorized official
Thomas O Usilton
Sr Vice President
7705417922
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