MEDICARE: RENAL LIFE LINK INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619932530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENAL LIFE LINK INC

Provider Business Mailing Address
First Line	:	5200 VIRGINIA WAY
Second Line	:	L&C DEPT
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-7569
Country	:	US
Telephone Number	:	615-341-5893
Fax Number	:	877-850-7073

Provider Business Practice Location Address
First Line	:	3909 S WESTERN AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-3405
Country	:	US
Telephone Number	:	405-631-3775
Fax Number	:	405-631-3739

Authorized Official
Title or Position	:	GROUP VICE PRESIDENT
Name	:	JAMES K HILGER
Credential	:
Telephone Number	:	253-733-4500

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	05/02/2016

Similar Medicare Providers

1487699393 — CHIROSOLUTIONS, PC
Practice Location Address:

2910 OKLAHOMA AVE
TRENTON, MO
64683-3405

Practice Phone: 660-359-3500
Practice Fax: 660-359-3511

1396772323 — DR. DAMON MAX WHITAKER D.C.
Practice Location Address:

2910 OKLAHOMA AVE
TRENTON, MO
64683-3405

Practice Phone: 660-359-3500
Practice Fax: 660-359-3511

1033146063 — DR. CRYSTAL IOLA WHITAKER D.C.
Practice Location Address:

2910 OKLAHOMA AVE
TRENTON, MO
64683-3405

Practice Phone: 660-359-3500
Practice Fax: 660-359-3511

1184461550 — TENNILLE HADLEY LMSW
Practice Location Address:

2029 BUCHANAN ST
KANSAS CITY, MO
64116-3405

Practice Phone: 816-221-0305
Practice Fax: 816-221-9121

1588657365 — DR. MANOJ MAKHIJA M.D.
Practice Location Address:

10192 W COGGINS DR
SUN CITY, AZ
85351-3405

Practice Phone: 623-974-2434
Practice Fax: 623-974-4925

1023070984 — COMMUNITY HOSPICES OF AMERICA, LLC
Practice Location Address:

3405 W TRUMAN BLVD STE 210
JEFFERSON CITY, MO
65109-5861

Practice Phone: 573-556-3547
Practice Fax: 573-556-6597

Directions to “RENAL LIFE LINK INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.