US RENAL CARE BOERNE LLC NPI 1821013657

NPI Information

NPI: 1821013657
Provider Name: US RENAL CARE BOERNE LLC

Doing Business As: US RENAL CARE BOERNE DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1595 S MAIN ST
SUITE 107
BOERNE, TX
ZIP 78006
Phone: (830) 816-3030
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US RENAL CARE BOERNE LLC is an end-stage renal disease (esrd) treatment clinic center in Boerne, TX. US RENAL CARE BOERNE LLC NPI is 1821013657. The provider is registered as an organization entity type.
The provider Is Doing Business As Us Renal Care Boerne Dialysis.

The provider's business location address is:

1595 S MAIN ST
SUITE 107
BOERNE, TX
ZIP 78006-329
Phone: (830) 816-3030
Fax: (830) 816-3038

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

The CLIA number assigned to this NPI record is 45D1062969 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 1/23/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	008371	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	672563	MEDICARE OSCAR/CERTIFICATION
2	HH076Y	OTHER	TEXAS	BCBS
3	021309	OTHER	TEXAS	KIDNEY HEALTH CARE
4	186101501	MEDICAID	TEXAS
5	186101502	MEDICAID	TEXAS

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: 5/5/2024

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