Churchview Dialysis

LBN: Renal Treatment Centers-Illinois Inc.
Churchview Dialysis is an health care organization with primary practice located at 417 Ware Ave , Rockford IL 61107-6413. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Renal Treatment Centers-Illinois Inc. can be contacted via phone (815) 397-4123, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
417 Ware Ave Rockford IL 61107-6413
Fax: (815) 397-3059
Website:
Authorized official contact:
Name: Winstel, John D

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X N/A Illinois

Profile Details

NPI number 1285694729
LBN Legal business name Renal Treatment Centers-Illinois Inc.
DBA Doing business as Churchview Dialysis
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2006
Last updated Apr 4th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285694729 NPPES
Wisconsin MEDICAID 100004743

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