RENAL TREATMENT CENTERS-ILLINOIS INC. NPI 1447214812

NPI Information

RENAL TREATMENT CENTERS-ILLINOIS INC. is an end-stage renal disease (esrd) treatment clinic center in St Louis Park, MN. RENAL TREATMENT CENTERS-ILLINOIS INC. NPI is 1447214812. The provider is registered as an organization entity type.
The provider Is Doing Business As St Louis Park Dialysis Center.

The provider's business location address is:

3505 LOUISIANA AVE S
ST LOUIS PARK, MN
ZIP 55426-121
Phone: (952) 285-1400
Fax: (952) 285-1406

The provider's authorized official is John Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 24D1004078 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 2/7/2022.

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:

Other Identifiers

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