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USRC HONOLULU LLC NPI 1093382012


NPI Information

NPI: 1093382012
Provider Name: USRC HONOLULU, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 12D0868121

Address:
226 N KUAKINI ST FL 2
HONOLULU, HI
ZIP 96817
Phone: (808) 545-3933
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USRC HONOLULU, LLC is an end-stage renal disease (esrd) treatment clinic center in Honolulu, HI. USRC HONOLULU, LLC NPI is 1093382012. The provider is registered as an organization entity type.

The provider's business location address is:

226 N KUAKINI ST FL 2
HONOLULU, HI
ZIP 96817-488
Phone: (808) 545-3933
Fax: (808) 545-2971

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

The CLIA number assigned to this NPI record is 12D0868121 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2021 and was last updated on 6/8/2021.


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) TreatmentYes

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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