Healthcare Provider Details

I. General information

NPI: 1760422562
Provider Name (Legal Business Name): RENALPARTNERS FOUNDATIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 W END AVE SUITE 600
NASHVILLE TN
37203-1738
US

IV. Provider business mailing address

2525 W END AVE SUITE 600
NASHVILLE TN
37203-1738
US

V. Phone/Fax

Practice location:
  • Phone: 615-345-5590
  • Fax: 615-345-5555
Mailing address:
  • Phone: 615-345-5590
  • Fax: 615-345-5555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY JOHN BALCH
Title or Position: PRESIDENT
Credential:
Phone: 615-345-5590