RENAL CARE GROUP ARIZONA, LLC is an end-stage renal disease (esrd) treatment clinic center in Mammoth, AZ. RENAL CARE GROUP ARIZONA, LLC NPI is 1104928373. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Care Group - Mammoth.
The provider's business location address is:
14786 S STATE HIGHWAY 77
MAMMOTH, AZ
ZIP 85618-000
Phone: (520) 487-0150
Fax: (520) 487-0156
The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.
The CLIA number assigned to this NPI record is 03D1009922 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/1/2006 and was last updated on 10/17/2023.