RENAL TREATMENT CENTERS ILLINOIS INC


Address: 610 10th St Ste L100, Perry, IA 50220
Phone: 5154652657

RENAL TREATMENT CENTERS ILLINOIS INC (NPI# 1508959172) 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) 1508959172
Entity Type Organization
Organization Name RENAL TREATMENT CENTERS ILLINOIS INC
Other Organization Name PERRY DIALYSIS
Practice Address 610 10th St Ste L100
Perry
IA 50220
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 5154652657
Practice Fax Number 5154652874
Mailing Telephone 6153416814
Mailing Fax Number 8002938405
Enumeration Date 2006-10-02
Last Update Date 2020-06-17
Authorized Official Name JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334501
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
IA 0625368 05

Other Provider/Organization Names

Other Name Type Code
Perry Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 610 10TH ST STE L100
City PERRY
State IA
Zip Code 50220

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407405897 Tanna Corrigan Technician 2628 Marengo Dr, Perry, IA 50220 2019-09-09
1053963900 Nicole Dora Mcclavy Nurse Practitioner 610 10th St, Perry, Ia 50220, Perry, IA 50220 2019-07-11
1881816882 Rachel Fazio Occupational Therapist 2625 Iowa St, Perry, IA 50220 2007-05-02
1558485151 Angela Faye Hansen-abbas Occupational Therapist 161 315th Street, Perry, IA 50220 2007-03-19
1356405658 Eye Care Associates PC Optometrist 1313 2nd St., Perry, IA 50220 2006-12-20
1962591800 Nabil Nakhla Faltas Radiology 610 10th Street, Dallas Co Hospital, Perry, IA 50220 2006-10-11
1790702207 Todd R Miller Podiatrist 612 10th St, Perry, IA 50220 2006-07-17
1750349411 Chad M Kuehl Physical Therapist 610 10t St, Perry, IA 50220 2006-05-03
1942672563 Ronda Hemann Counselor 610 10th Street, Perry, IA 50220 2015-10-22
1336353218 Daniel David Finn II Dentist 2605 Iowa St, Perry, IA 50220 2007-05-09
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922076108 Central Georgia Dialysis LLC Clinic/Center 1027 Keith Dr, Perry, GA 31069 2006-03-14
1972571206 Dva Healthcare Renal Care, Inc. Clinic/Center 118 W Main St, Perry, FL 32347-2656 2006-03-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942817218 Fresenius Medical Care Ottumwa, LLC Clinic/Center 1655 E San Marnan Dr Ste E, Waterloo, IA 50702-4380 2020-09-30
1669001038 Honeyman Dialysis LLC Clinic/Center 701 Tama St Ste 150, Marion, IA 52302-4806 2020-04-07
1588221824 Rcg Mercy Des Moines LLC Clinic/Center 9080 University Ave, West Des Moines, IA 50266-1892 2019-05-22
1639634207 Fresenius Medical Care Ottumwa, LLC Clinic/Center 1110 N Quincy Ave Ste 44, Ottumwa, IA 52501-3884 2019-02-07
1245755529 Trusten Dialysis LLC Clinic/Center 1119 73rd St, Windsor Heights, IA 50324-1313 2017-08-08
1477086692 Wallips Dialysis, LLC Clinic/Center 1117 Hazel St, Pella, IA 50219-1338 2017-04-05
1821499245 Clyfee Dialysis LLC Clinic/Center 1228 E Rusholme St Ste 1000, Davenport, IA 52803-2467 2014-09-05
1477980365 Honeyman Dialysis LLC Clinic/Center 1002 4th Ave Se Ste A, Ste A, Cedar Rapids, IA 52403-2425 2013-10-09
1982947792 Davis Dialysis LLC Clinic/Center 5865 Sunnybrook Dr, Sioux City, IA 51106-4203 2013-03-29
1972843738 Geyser Dialysis LLC Clinic/Center 2625 N Ankeny Blvd, Ankeny, IA 50023 2013-02-15
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Competitor

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City PERRY
Zip Code 50220

Improve Information

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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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