OrganizationActive
Renal Treatment Centers-Illinois Inc.
NPI 1184868267 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Waterloo, IA
Provider details
- NPI number
- 1184868267
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Samuel Wey, Vp Licensure & Certification(615) 341-6641
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3421 W 9th St
Waterloo, IA 50702-5401
Phone: (319) 272-8700
Fax: (319) 272-8695
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Black Hawk Dialysis
- Doing business as
- Black Hawk Dialysis
Registry dates
- Enumerated
- 2009-04-21
- Last updated
- 2026-02-09
- Certified
- 2026-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.