RENAL CARE GROUP OF THE MIDWEST INC. NPI 1114039088

NPI Information

  • NPI: 1114039088
  • Provider Name: RENAL CARE GROUP OF THE MIDWEST, INC.
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: RENAL CARE OF POPLAR BLUFF
  • Address: 2311 EUGENE BLVD
    POPLAR BLUFF, MO
    ZIP 63901
  • Phone: (573) 785-5000

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NPI Details

RENAL CARE GROUP OF THE MIDWEST, INC. is an end-stage renal disease (esrd) treatment clinic center in Poplar Bluff, MO. RENAL CARE GROUP OF THE MIDWEST, INC. NPI is 1114039088. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Care Of Poplar Bluff.

The provider's business location address is:

2311 EUGENE BLVD
POPLAR BLUFF, MO
ZIP 63901-397
Phone: (573) 785-5000
Fax: (573) 785-5005

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 enumeration date for this NPI number is 8/31/2006 and was last updated on 10/16/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 3/30/2025

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