RENAL TREATMENT CENTERS ILLINOIS INC


Address: 220 Clifty Dr, Unit K, Madison, IN 47250-1696
Phone: 8122652278

RENAL TREATMENT CENTERS ILLINOIS INC (NPI# 1073577532) 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) 1073577532
Entity Type Organization
Organization Name RENAL TREATMENT CENTERS ILLINOIS INC
Other Organization Name MADISON DIALYSIS CENTER
Practice Address 220 Clifty Dr
Unit K
Madison
IN 47250-1696
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 8122652278
Practice Fax Number 8122656458
Mailing Telephone 6153416657
Mailing Fax Number 8666519495
Enumeration Date 2006-04-13
Last Update Date 2015-09-22
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
KY 399341200 05
IN 200024860D 05

Other Provider/Organization Names

Other Name Type Code
Madison Dialysis Center Doing Business As Name - Organization

Other Provider IDs and Locations

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1659640522 Renal Treatment Centers Illinois Inc Clinic/Center 610 S 13th St, Norfolk, NE 68701-4969 2011-12-22
1013294156 Renal Treatment Centers Illinois Inc Clinic/Center 7454 N 30th St, Omaha, NE 68112-2722 2011-11-03
1760766984 Renal Treatment Centers Illinois Inc Clinic/Center 6610 S 168th St, Ste 8, Omaha, NE 68135-5412 2011-10-06
1558590620 Renal Treatment Centers Illinois Inc Clinic/Center 3749 Commercial Dr, Indianapolis, IN 46222-1676 2009-07-09
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1922269471 Renal Treatment Centers Illinois Inc Clinic/Center 3877 E Galbraith Rd, Bldg C, Cincinnati, OH 45236-1514 2008-06-18
1154505188 Renal Treatment Centers Illinois Inc Clinic/Center 4801 Acorn Dr, Independence, OH 44131-2566 2007-12-27

Office Location

Street Address 220 CLIFTY DR
UNIT K
City MADISON
State IN
Zip Code 47250-1696

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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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1114035912 Wisconsin Dialysis, Inc. Clinic/Center 4600 American Pkwy, Ste 108, Madison, WI 53718-8337 2006-08-29
1396762035 Bio-medical Applications of Indiana, Inc. Clinic/Center 1708 Cragmont St, Madison, IN 47250-2808 2006-07-17
1861420416 Dialysis Clinic Inc. Clinic/Center 605 W Due West Ave, Madison, TN 37115-4423 2006-06-30
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Competitor

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City MADISON
Zip Code 47250

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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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