NPIMap

Organization Active NPI

Renal Treatment Centers Southeast LP

Doing business as Rockport Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockport, TX
National Provider Identifier
1700037447
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
008744 Issued in TX
Legal business name
RENAL TREATMENT CENTERS SOUTHEAST LP
Doing business as
Rockport Dialysis
Practice address
2102 FM 2165
Rockport, TX 78382-9998
Phone
(361) 729-5900
Fax
(361) 729-5572
NPI assigned
Sep 30, 2008
Last updated
Jan 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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) 382-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 008744 TX Primary

Addresses

Primary practice location

2102 FM 2165
Rockport, TX 78382-9998

Mailing address

5200 Virginia Way
4TH Floor L&C Dept
Brentwood, TN 37027-7569
Phone (615) 320-4550

Other identifiers 1

IdentifierTypeStateIssuer
206718301MedicaidTX

Other names 1

  • Rockport Dialysis Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bradley County Dialysis137 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1700037447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "4TH FLOOR L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4550",
            "fax_number": "866-500-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 FM 2165",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783829998",
            "telephone_number": "361-729-5900",
            "fax_number": "361-729-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL TREATMENT CENTERS SOUTHEAST LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2011-01-04",
        "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": "253-382-1919"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "008744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206718301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockport Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockport, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.