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NPI Code Detail

MEDICARE: RENAL TREATMENT CENTERS WEST INC

MEDICARE: RENAL TREATMENT CENTERS WEST 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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center0564CO

Other Identifiers

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

General Provider Information

NPI Number : 1508834276
Entity Type Code : Organization
Provider Name (Legal Business Name) : RENAL TREATMENT CENTERS WEST 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 : 9053 HARLAN ST
Second Line : STE 90
City : WESTMINSTER
State : CO
Zip : 80031-2908
Country : US
Telephone Number : 303-427-2400
Fax Number : 303-427-2504
Authorized Official
Title or Position : CEIEF ACCOUNTING OFFICER
Name : JAMES K HILGER
Credential :
Telephone Number : 253-733-4500
Provider Enumeration Date : 03/09/2006
Last Update Date : 04/17/2018

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