institution
Renal Treatment Centers Illinois Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Poplar Bluff, Missouri
NPI 1225099609

Renal Treatment Centers Illinois Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, MO and is specialized in End-Stage Renal Disease (ESRD) Treatment. Renal Treatment Centers Illinois Inc practices in Poplar Bluff, MO. The NPI Number for Renal Treatment Centers Illinois Inc is 1225099609 and holds a License No. (Missouri).

The current practice location address for Renal Treatment Centers Illinois Inc is 2400 Lucy Lee Pkwy, Poplar Bluff, MO and can be reached out via phone at 573-686-2321 and via fax at 573-686-0847.

Location: 2400 Lucy Lee Pkwy, Poplar Bluff, MO, 37027-7569
institution
Provider Profile Details
NPI Number
1225099609
Provider Name
Renal Treatment Centers Illinois Inc
Credential
Provider Entity Type
Organization
Address
2400 Lucy Lee Pkwy, Poplar Bluff, MO, 37027-7569
Phone Number
573-686-2321
Fax Number
573-686-0847
Provider Enumeration Date
03/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
502921802 05 MO
institution
Provider Business Practice Location Address Details
Address
2400 Lucy Lee Pkwy
City
State
Zip
63901-2429
Phone Number
573-686-2321
Fax Number
573-686-0847
person
Provider Business Mailing Address Details
Address
2400 Lucy Lee Pkwy
City
State
Zip
63901-2429
Phone Number
573-686-2321
Fax Number
573-686-0847
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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