BLUFF CITY DIALYSIS CENTER – NPI #1225099609
Clinic/Center

BLUFF CITY DIALYSIS CENTER is an AHC clinic located in POPLAR BLUFF, MO. NPPES has assigned the NPI number 1225099609 to BLUFF CITY DIALYSIS CENTER on March 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BLUFF CITY DIALYSIS CENTER” is a dba name, the actual legal business name for this organization is RENAL TREATMENT CENTERS ILLINOIS INC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 11 years ago on Oct 22, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUFF CITY DIALYSIS CENTER below.

NPI Profile for
RENAL TREATMENT CENTERS ILLINOIS INC

NPI Number
1225099609
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RENAL TREATMENT CENTERS ILLINOIS INC
Doing Business As (dba): BLUFF CITY DIALYSIS CENTER
Primary location
2400 LUCY LEE PKWY
STE E
POPLAR BLUFF, MO 63901-2429
Phone: (573) 686-2321 Fax: (573) 686-0847
Mailing address
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD, TN 37027-7569
Phone: (615) 341-5893 Fax: (877) 850-7073
Organization Subpart
No
Authorized Official
JAMES HILGER
CHIEF ACCOUNTING OFFICER
Phone: (253) 733-4500
Updated
Identifiers

Identifiers for BLUFF CITY DIALYSIS CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO502921802
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.