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RENAL TREATMENT CENTERS-ILLINOIS INC. NPI 1134181563


NPI Information

NPI: 1134181563
Provider Name: RENAL TREATMENT CENTERS-ILLINOIS INC.

Doing Business As: HASTINGS DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 28D0977907

Address:
1900 N SAINT JOSEPH AVE
HASTINGS, NE
ZIP 68901
Phone: (402) 463-4893
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RENAL TREATMENT CENTERS-ILLINOIS INC. is an end-stage renal disease (esrd) treatment clinic center in Hastings, NE. RENAL TREATMENT CENTERS-ILLINOIS INC. NPI is 1134181563. The provider is registered as an organization entity type.
The provider Is Doing Business As Hastings Dialysis Center.

The provider's business location address is:

1900 N SAINT JOSEPH AVE
HASTINGS, NE
ZIP 68901-652
Phone: (402) 463-4893
Fax: (402) 463-7049

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 28D0977907 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2006 and was last updated on 4/18/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentESRD002NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11134181563MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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