Provider Demographics
NPI:1760422562
Name:RENALPARTNERS FOUNDATIONS
Entity Type:Organization
Organization Name:RENALPARTNERS FOUNDATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:BALCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-345-5590
Mailing Address - Street 1:2525 W END AVE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1738
Mailing Address - Country:US
Mailing Address - Phone:615-345-5590
Mailing Address - Fax:615-345-5555
Practice Address - Street 1:2525 W END AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1738
Practice Address - Country:US
Practice Address - Phone:615-345-5590
Practice Address - Fax:615-345-5555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00W179Medicare ID - Type Unspecified