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NRA MUNCIE NORTH INDIANA LLC NPI 1063691665


NPI Information

NPI: 1063691665
Provider Name: NRA MUNCIE NORTH INDIANA LLC

Doing Business As: U.S. RENAL CARE NORTH GRANVILLE DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3001 N GRANVILLE AVE
MUNCIE, IN
ZIP 47303
Phone: (765) 288-3740
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NRA MUNCIE NORTH INDIANA LLC is an end-stage renal disease (esrd) treatment clinic center in Muncie, IN. NRA MUNCIE NORTH INDIANA LLC NPI is 1063691665. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care North Granville Dialysis.

The provider's business location address is:

3001 N GRANVILLE AVE
MUNCIE, IN
ZIP 47303-155
Phone: (765) 288-3740
Fax: (765) 288-3756

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Authorized Official and has the following contact phone number (214) 736-2700.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 3/31/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentNOT APPLICABLEINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1152614MEDICARE OSCAR/CERTIFICATION
2200927580MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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