RENAL TREATMENT CENTERS ILLINOIS INC (NPI# 1477517571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477517571 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS ILLINOIS INC |
| Other Organization Name | SOUTHWEST OHIO DIALYSIS |
| Practice Address |
215 S Allison Ave Xenia OH 45385-3694 |
| Mailing Address |
5200 Virginia Way L&c Department Brentwood TN 37027-7569 |
| Practice Telephone | 9373761453 |
| Practice Fax Number | 9373742930 |
| Mailing Telephone | 6152383051 |
| Mailing Fax Number | 8002468346 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2019-05-24 |
| Authorized Official Name | JAMES K HIILGER JR. (CHIEF ACCT 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 |
0463DC | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2480560 | 05 |
| Other Name | Type Code |
|---|---|
| Southwest Ohio Dialysis | 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 |
215 S ALLISON AVE |
| City | XENIA |
| State | OH |
| Zip Code | 45385-3694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164494290 | Forrest T Fornash | Physician Assistant | 215 S Allison Ave, Xenia, OH 45385-3694 | 2006-02-02 |
| 1952581944 | Mark D Webster | Physician Assistant | 215 S Allison Ave, Xenia, OH 45385-3694 | 2007-11-07 |
| 1275754301 | Morrison and Ahmad, Md's, Inc. | Internal Medicine | 215 S Allison Ave, Xenia, OH 45385-3694 | 2007-05-02 |
| 1720035652 | Teresa Lynn Malki | Physician Assistant | 215 S Allison Ave, Xenia, OH 45385-3694 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689219008 | Ashley Marie Mosher | Registered Nurse | 1728 Dayton Xenia Road, Xenia, OH 45385 | 2019-11-08 |
| 1255892824 | Hart Behavior Group LLC | Behavioral Analyst | 1690 Kingsway Dr, Xenia, OH 45385 | 2019-03-27 |
| 1053814996 | Briana Creamer | Community/Behavioral Health | 673 Sutton Dr, Xenia, OH 45385 | 2018-03-16 |
| 1174031769 | Maggie Ann Weyandt | Social Worker | 380 Bellbrook Ave., Xenia, OH 45385 | 2018-01-17 |
| 1588116362 | Te Carr | Specialist/Technologist | 1200 Us 42 E, Xenia, OH 45385 | 2016-10-27 |
| 1649678400 | Crystal Misner | Occupational Therapy Assistant | 1694 Pawnee Drive, Xenia, OH 45385 | 2014-12-10 |
| 1750627345 | Claudette May Ross | Registered Nurse | 2301 Dundee Drive, Dayton, OH 45385 | 2012-12-31 |
| 1578868386 | Traditions At Xenia | Assisted Living Facility | 695 Wycliffe Dr, Xenia, OH 45385 | 2011-01-26 |
| 1851624720 | Robert T Morrison Md LLC | Internal Medicine | 215 S. Allison Ave., Xenia, OH 45385 | 2009-09-10 |
| 1790945186 | Tracey D Hacker | Licensed Practical Nurse | 1896 Pueblo Dr, Xenia, OH 45385 | 2008-06-10 |
| Find all providers in zip 45385 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1366057747 | Akron Renal Care Group, LLC | Clinic/Center | 9200 Staples Dr Ste A, Streetsboro, OH 44241-3950 | 2020-09-11 |
| 1518570886 | Independent Dialysis Group Northeast Ohio LLC | Clinic/Center | 48444 Bell School Rd Ste 4, Calcutta, OH 43920-9646 | 2020-08-26 |
| 1871106401 | Akron Renal Care Group, LLC | Clinic/Center | 401 Devon Pl Ste 100, Kent, OH 44240-6481 | 2020-08-24 |
| 1558985663 | Wyandot Dialysis Clinic LLC | Clinic/Center | 1207 E Wyandot Ave, Upper Sandusky, OH 43351-9647 | 2020-06-04 |
| 1245854876 | Concerto Ohio LLC | Clinic/Center | 2111 S Green Rd, South Euclid, OH 44121-3350 | 2020-05-29 |
| 1548899602 | Northeast Ohio Home Dialysis LLC | Clinic/Center | 2819 S Hayes Ave Ste 8, Sandusky, OH 44870-5391 | 2020-04-02 |
| 1982242954 | Center for Dialysis Care Beachwood Home Care LLC | Clinic/Center | 3755 Orange Pl Ste 103, Beachwood, OH 44122-4455 | 2019-12-20 |
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1912554486 | Usrc Tiffin, LLC | Clinic/Center | 100 Shaffer Park Dr Ste A, Tiffin, OH 44883-8536 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
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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.