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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 399341200 | 05 | |
IN | 200024860D | 05 |
Other Name | Type Code |
---|---|
Madison Dialysis Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780062802 | Renal Treatment Centers Illinois Inc | Clinic/Center | 27150 Providence Pkwy, Ste A, Novi, MI 48374-1272 | 2015-05-08 |
1508243882 | Renal Treatment Centers Illinois Inc | Clinic/Center | 6770 Dixie Hwy Ste 205, Clarkston, MI 48346-2089 | 2015-05-06 |
1568849826 | Renal Treatment Centers Illinois Inc | Clinic/Center | 21900 Melrose Ave Ste 4, Southfield, MI 48075-7967 | 2015-05-06 |
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 |
1558505636 | Renal Treatment Centers Illinois Inc | Clinic/Center | 220 10th St Sw, Waverly, IA 50677-2930 | 2009-04-21 |
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 |
Street Address |
220 CLIFTY DR UNIT K |
City | MADISON |
State | IN |
Zip Code | 47250-1696 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
1801314455 | Physicians Medical Center LLC | Nurse Practitioner | 311 E Clifty Drive, Madison, IN 47250 | 2017-09-05 |
1205201381 | Harrison County Hospital | Skilled Nursing Facility | 120 Presbyterian Avenue, Madison, IN 47250 | 2015-12-01 |
1720425796 | Kellie Robinson | Physical Therapist | 112 Holt Dr., Madison, IN 47250 | 2013-05-30 |
1568761575 | Linda Wehner D.m.d. LLC | Dentist | 1105 Clifty Drive, Madison, IN 47250 | 2011-03-17 |
1205142221 | Mary-caroline Peddie | Registered Nurse | 2003 Hycliff Ct, Madison, IN 47250 | 2010-08-27 |
1235376625 | Brian Edward Armbrecht | Pharmacist | One King's Daughters' Dr, Madison, IN 47250 | 2009-01-07 |
1902092661 | Assisted Living Concepts Inc | Assisted Living Facility | 607 Virginia Avenue, Madison, IN 47250 | 2007-09-17 |
1831218262 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3004 Kentucky Ave, Madison, IN 47250 | 2007-03-28 |
1396877205 | Quinco Consulting Center Inc | Clinic/Center | 3100 N Bevcher Drive, Madison, IN 47250 | 2007-03-09 |
Find all providers in zip 47250 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992352082 | Fresenius Kidney Care Madison, LLC | Clinic/Center | 4600 American Pkwy Ste 102, Madison, WI 53718-8334 | 2019-08-22 |
1053836486 | American Kidney Center of Madison LLC | Clinic/Center | 419 Clifty Dr, Madison, IN 47250-1607 | 2017-08-07 |
1487108668 | Total Renal Care, Inc | Clinic/Center | 1221 Briarville Rd, Madison, TN 37115-5145 | 2016-08-05 |
1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
1114368065 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 29569 Huntsville Brownsferry Rd, Madison, AL 35756-3639 | 2013-07-08 |
1871680264 | Athens Kidney Center, PC | Clinic/Center | 1311 Atlanta Hwy, Madison, GA 30650-2069 | 2006-10-06 |
1245342054 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 40 Hughes Rd, Madison, AL 35758-2220 | 2006-08-31 |
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 |
Find all providers in MADISON |
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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.