Organization · Type 2 NPI

Renal Treatment Centers-Illinois Inc.

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · St. Louis Park, MN

NPI number 1447214812 Active

Practice location

3505 Louisiana Ave S
St. Louis Park, MN 55426-4121

Call (952) 285-1400 Map

Fax (952) 285-1406

Mailing address

5200 Virginia Way, 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...

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NPI record

NPI: 1447214812
Entity type: Organization (Type 2)
Issued: Apr 13, 2006
Last updated: May 23, 2024
Status: Active

Other names

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ST Louis Park Dialysis Center · doing business as
ST Louis Park Dialysis Center · doing business as

Authorized official

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

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About NPI 1447214812

Renal Treatment Centers-Illinois Inc.'s National Provider Identifier is 1447214812, issued on Apr 13, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in St. Louis Park, MN. The record was last updated on May 23, 2024.