institution
Renal Treatment Centers-illinois Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Columbia, Missouri
NPI 1629039300

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 Columbia, MO. The NPI Number for Renal Treatment Centers-illinois Inc is 1629039300 and holds a License No. (Missouri).

The current practice location address for Renal Treatment Centers-illinois Inc is 1701 E Broadway Ste G102, Columbia, MO and can be reached out via phone at 573-442-0573 and via fax at 573-442-3498. You can also correspond with Renal Treatment Centers-illinois Inc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-341-6264).

Location: 1701 E Broadway Ste G102, Columbia, MO, 37027-7569
institution
Provider Profile Details
NPI Number
1629039300
Provider Name
Renal Treatment Centers-illinois Inc
Credential
Provider Entity Type
Organization
Address
1701 E Broadway Ste G102, Columbia, MO, 37027-7569
Phone Number
573-442-0573
Fax Number
573-442-3498
Provider Enumeration Date
03/31/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500152004 05 MO
institution
Provider Business Practice Location Address Details
Address
1701 E Broadway Ste G102
City
State
Zip
65201-8029
Phone Number
573-442-0573
Fax Number
573-442-3498
person
Provider Business Mailing Address Details
Address
5200 Virginia Way
City
State
Zip
37027-7569
Phone Number
615-341-6264
Fax Number
800-297-2925
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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