RCG INDIANA L.L.C. NPI 1235244088

NPI Information

RCG INDIANA, L.L.C. is an end-stage renal disease (esrd) treatment clinic center in Fort Wayne, IN. RCG INDIANA, L.L.C. NPI is 1235244088. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Fort Wayne Jefferson.

The provider's business location address is:

7836 W JEFFERSON BLVD STE LL10
FORT WAYNE, IN
ZIP 46804-165
Phone: (260) 432-4225
Fax: (260) 432-6247

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 15D0647525 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2006 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:

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