Organization · Type 2 NPI

Renal Treatment Centers-Illinois Inc.

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Flint, MI

NPI number 1376505552 Active

Practice location

G1075 N Ballenger Hwy
Flint, MI 48504-4431

Call (810) 235-8468 Map

Fax (810) 235-9144

Mailing address

5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

2 other providers at this address

Other end-stage renal disease (esrd) treatment clinic/center providers in Flint

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NPI record

NPI: 1376505552
Entity type: Organization (Type 2)
Issued: Apr 4, 2006
Last updated: Jun 18, 2024
Status: Active

Other names

<unavail>
Park Plaza Dialysis · doing business as
Park Plaza Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376505552

Renal Treatment Centers-Illinois Inc.'s National Provider Identifier is 1376505552, issued on Apr 4, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Flint, MI. The record was last updated on Jun 18, 2024.