Active NPI
Renal Treatment Centers Illinois Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sandusky, OH
National Provider Identifier
1720179880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 0841DC
- Legal business name
- RENAL TREATMENT CENTERS ILLINOIS INC
- Practice address
- 795 Bardshar Rd
Sandusky, OH 44870-1505 - Phone
- (419) 609-1847
- Fax
- (419) 609-1867
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas O Usilton Jr.
- Title
- Sr Vice President
- Phone
- (770) 541-7922
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 0841DC | OH | Primary |
Addresses
Primary practice location
795 Bardshar Rd
Sandusky, OH 44870-1505
Mailing address
5200 Virginia Way
Ste 400 L&C
Brentwood, TN 37027-7569
Phone (615) 320-4218
Other names 1
- Sandusky Dialysis
National Provider Directory
National Provider DirectoryLocations
211 Lakeside Park
Sandusky, OH 44870
Phone (419) 626-3809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203465600000",
"number": "1720179880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "STE 400 L&C",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569",
"telephone_number": "615-320-4218",
"fax_number": "303-209-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 BARDSHAR RD",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448701505",
"telephone_number": "419-609-1847",
"fax_number": "419-609-1867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAL TREATMENT CENTERS ILLINOIS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2008-02-20",
"status": "A",
"authorized_official_last_name": "USILTON",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "SR VICE PRESIDENT",
"authorized_official_telephone_number": "770-541-7922",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "OH",
"license": "0841DC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sandusky Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.