USRC MAUMEE LLC NPI 1083069991

NPI Information

USRC MAUMEE, LLC is an end-stage renal disease (esrd) treatment clinic center in Maumee, OH. USRC MAUMEE, LLC NPI is 1083069991. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care Maumee Dialysis.

The provider's business location address is:

1787 INDIAN WOOD CIR
MAUMEE, OH
ZIP 43537-175
Phone: (419) 887-0729
Fax: (419) 887-0734

The provider's authorized official is Thomas L Weinberg .
The authorized official title is Chairman and has the following contact phone number (214) 736-2730.

The CLIA number assigned to this NPI record is 36D2112713 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/28/2016 and was last updated on 4/28/2016.

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:

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