RENAL TREATMENT CENTERS - ILLINOIS INC (NPI# 1750343646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750343646 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS - ILLINOIS INC |
| Other Organization Name | FOWLERVILLE DIALYSIS |
| Practice Address |
206 E Grand Ave Fowlerville MI 48836-0128 |
| Mailing Address |
5200 Virginia Way Ste 400 L&c Brentwood TN 37027-7569 |
| Practice Telephone | 5172230770 |
| Practice Fax Number | 5172230208 |
| Mailing Telephone | 6153204218 |
| Mailing Fax Number | 3032097821 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2009-07-17 |
| Authorized Official Name | THOMAS O USILTON JR. (GROUP VICE PRESIDENT) |
| Authorized Official Telephone | 7705417922 |
| 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 |
|---|---|---|---|
| MI | 4511206 | 05 |
| Other Name | Type Code |
|---|---|
| Fowlerville Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427379197 | Renal Treatment Centers - Illinois Inc | Clinic/Center | 36588 Ford Rd, Westland, MI 48185-3769 | 2010-06-17 |
| 1326296443 | Renal Treatment Centers - Illinois Inc | Clinic/Center | 1761 State Route 125, Amelia, OH 45102-2007 | 2008-09-03 |
| 1487618591 | Renal Treatment Centers - Illinois Inc | Clinic/Center | 7360 Engle Rd, Middleburg Heights, OH 44130-3429 | 2006-04-14 |
| 1538128533 | Renal Treatment Centers - Illinois Inc | Clinic/Center | 4406 E Lincolnway, Sterling, IL 61081-9749 | 2006-03-20 |
| Street Address |
206 E GRAND AVE |
| City | FOWLERVILLE |
| State | MI |
| Zip Code | 48836-0128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914638 | Angelina Dedvukaj | Dentist | 175 W Van Riper Rd, Fowlerville, MI 48836 | 2019-10-23 |
| 1740786540 | Marnie Schmidt | Registered Nurse | 202 E Van Riper Rd # 100, Fowlerville, MI 48836 | 2018-04-02 |
| 1518305929 | Aaron Kyle Treiber | Physical Therapist | 125 East Grand River, Fowlerville Physical Therapy Specialists, Fowlerville, MI 48836 | 2013-06-07 |
| 1689012387 | James Duane Leland | Physical Therapist | 125 East Grand, Fowlerville Physical Therapy Specialists, Fowlerville, MI 48836 | 2013-06-05 |
| 1568728822 | Tegan Wetherbee Roobol | Physical Therapist | 125 E. Grand River, Fowlerville Physical Therapy Specialists, Fowlerville, MI 48836 | 2012-04-11 |
| 1619190774 | Manpreet K Chahal | Dentist | 175 W. Van Riper Rd., Box 978, Fowlerville, MI 48836 | 2007-04-10 |
| 1023156270 | Vikram Prasad | Family Medicine | 775 South Grand Avenue, Fowlerville, MI 48836 | 2007-02-01 |
| 1043361876 | Mns Pllc | Dentist | 175 W. Van Riper Road, Fowlerville, MI 48836 | 2007-01-16 |
| 1598834962 | Fowlerville Chiropractic Center | Chiropractor | 114 South Second Street, Fowlerville, MI 48836 | 2006-11-07 |
| 1902819147 | Andre J Hansen | Dentist | 753 S Grand, Fowlerville, MI 48836 | 2006-08-15 |
| Find all providers in zip 48836 | ||||
| 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 |
|---|---|---|---|---|
| 1801497961 | Saint Marina Home Dialysis LLC | Clinic/Center | 26711 Northwestern Hwy Ste 125, Southfield, MI 48033-2170 | 2020-11-05 |
| 1144820226 | Heritage Home Dialysis LLC | Clinic/Center | 1580 N Leroy St Ste 6, Fenton, MI 48430-2801 | 2020-10-28 |
| 1386262350 | Delta Renal Care Pllc | Clinic/Center | 3981 Elizabeth Ave, Canton, MI 48188-7223 | 2020-07-07 |
| 1457973257 | Fms Owosso, LLC | Clinic/Center | 918 Corunna Ave, Owosso, MI 48867-3768 | 2020-05-14 |
| 1023650926 | Falmont Dialysis LLC | Clinic/Center | 37290 5 Mile Rd, Livonia, MI 48154-1848 | 2019-10-11 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1487123600 | Concerto Michigan LLC | Clinic/Center | 14700 Farmington Rd Ste 108, Livonia, MI 48154-5462 | 2018-11-16 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1851886592 | Fms Rochester Hills, LLC | Clinic/Center | 26400 W 12 Mile Rd Ste 112, Southfield, MI 48034-1785 | 2018-06-26 |
| 1801399753 | Kasaskia Dialysis LLC | Clinic/Center | 18001 E 10 Mile Rd Ste B, Roseville, MI 48066-3803 | 2018-03-16 |
| Find all providers with the same taxonomy | ||||
| City | FOWLERVILLE |
| Zip Code | 48836 |
Please comment or provide details below to improve the information on RENAL TREATMENT CENTERS - ILLINOIS INC.
| 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.