Renal Treatment Centers Southeast LP

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

008752 Issued in TX

Legal business name

RENAL TREATMENT CENTERS SOUTHEAST LP

Doing business as

Hearne Dialysis Center

Practice address

106 Cedar St
Hearne, TX 77859-2523

Phone

(979) 279-9632

Fax

(979) 279-9621

NPI assigned

Jun 18, 2008

Last updated

Mar 25, 2019By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Hearne Dialysis Center Doing business as

Locations

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1861653396",
    "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": "615-341-6764",
            "fax_number": "833-781-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CEDAR ST",
            "city": "HEARNE",
            "state": "TX",
            "postal_code": "778592523",
            "telephone_number": "979-279-9632",
            "fax_number": "979-279-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL TREATMENT CENTERS SOUTHEAST LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2019-03-25",
        "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": "TX",
            "license": "008752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2042343-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearne Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hearne Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lomf, Inc. (Lean on Me Family)
• Suzanne Mehaffey, MSN, APRN, AGACNP-BC
• Catherine O'Krafka, M.D.
• Christine Pinones, FNP
• Wendy Rapp, FNP
• Ashley Shanise Richardson, MSN, APRN, FNP-C
• Rockdale Blackhawk, LLC (Little River Medical Clinic - Hearne)
• SLP Hearne LLC (Hearne Healthcare Center)
• St Joseph Regional Health Center (St Joseph-Hearne Family Medicine Clinic)
• Christin Turner, NP-C

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hearne, TX
• Providers in Hearne, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.