USRC BOYNTON BEACH LLC NPI 1104200757

NPI Information

NPI: 1104200757
Provider Name: USRC BOYNTON BEACH, LLC

Doing Business As: U.S. RENAL CARE BOYNTON BEACH DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 10D2098868

Address:
1500 GATEWAY BLVD
STE 190
BOYNTON BEACH, FL
ZIP 33426
Phone: (561) 734-1184
Get Directions

USRC BOYNTON BEACH, LLC is an end-stage renal disease (esrd) treatment clinic center in Boynton Beach, FL. USRC BOYNTON BEACH, LLC NPI is 1104200757. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care Boynton Beach Dialysis.

The provider's business location address is:

1500 GATEWAY BLVD
STE 190
BOYNTON BEACH, FL
ZIP 33426-219
Phone: (561) 734-1184
Fax: (561) 735-9879

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 10D2098868 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2015 and was last updated on 12/9/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			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	682589	MEDICARE OSCAR/CERTIFICATION	FLORIDA

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: 11/14/2023

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