RENAL TREATMENT CENTERS-ILLINOIS INC NPI 1659337418

NPI Information

NPI: 1659337418
Provider Name: RENAL TREATMENT CENTERS-ILLINOIS INC

Doing Business As: SAUGET DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2061 GOOSE LAKE RD
SAUGET, IL
ZIP 62206
Phone: (618) 332-7801
Get Directions

RENAL TREATMENT CENTERS-ILLINOIS INC is an end-stage renal disease (esrd) treatment clinic center in Sauget, IL. RENAL TREATMENT CENTERS-ILLINOIS INC NPI is 1659337418. The provider is registered as an organization entity type.
The provider Is Doing Business As Sauget Dialysis.

The provider's business location address is:

2061 GOOSE LAKE RD
SAUGET, IL
ZIP 62206-822
Phone: (618) 332-7801
Fax: (618) 332-7815

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 14D0881818 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2006 and was last updated on 3/7/2024.

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

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »