RENAL CARE GROUP ARIZONA LLC NPI 1104938919

NPI Information

RENAL CARE GROUP ARIZONA, LLC is an end-stage renal disease (esrd) treatment clinic center in Scottsdale, AZ. RENAL CARE GROUP ARIZONA, LLC NPI is 1104938919. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Care Group Scottsdale.

The provider's business location address is:

1495 N HAYDEN RD STE D1-D4
SCOTTSDALE, AZ
ZIP 85257-762
Phone: (480) 949-7844
Fax: (480) 949-8265

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 03D0907601 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/17/2023.

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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