OrganizationActive
Renal Treatment Centers-Illinois Inc.
NPI 1447214812 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · St Louis Park, MN
Provider details
- NPI number
- 1447214812
- 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
3505 Louisiana Ave S
St Louis Park, MN 55426-4121
Phone: (952) 285-1400
Fax: (952) 285-1406
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- St Louis Park Dialysis Center
- Doing business as
- St Louis Park Dialysis Center
Registry dates
- Enumerated
- 2006-04-13
- Last updated
- 2024-05-23
- Certified
- 2024-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.