NPIMap

Organization Active NPI

Rita Ranch Dialysis LLC

Doing business as Rita Ranch Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tucson, AZ
National Provider Identifier
1619114501
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
OTC4770 Issued in AZ
Legal business name
RITA RANCH DIALYSIS LLC
Doing business as
Rita Ranch Dialysis
Practice address
7355 S Houghton Rd Ste 101
Tucson, AZ 85747-9380
Phone
(520) 663-4035
Fax
(520) 663-3826
NPI assigned
Jan 14, 2009
Last updated
Jan 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James K Hilger
Title
Chief Accounting Officer
Phone
(253) 733-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X OTC4770 AZ Primary

Addresses

Primary practice location

7355 S Houghton Rd Ste 101
Tucson, AZ 85747-9380

Mailing address

5200 Virginia Way
L&C Dept.
Brentwood, TN 37027-7569
Phone (615) 341-5895

Other identifiers 2

IdentifierTypeStateIssuer
OTC4770OtherAZSTATE LICENSE
524427MedicaidAZ

Other names 1

  • Rita Ranch Dialysis Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Springdale Dialysis758 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 5

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7355 S Houghton Rd
Tucson, AZ 85747

7355 S Houghton Rd
Ste 101
Tucson, AZ 85747
Phone (520) 663-4035

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1619114501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT.",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-341-5895",
            "fax_number": "866-890-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 S HOUGHTON RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479380",
            "telephone_number": "520-663-4035",
            "fax_number": "520-663-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITA RANCH DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4500"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "AZ",
            "license": "OTC4770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OTC4770",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "524427",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rita Ranch Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.