Provider Type Icon

RENAL CARE GROUP OF THE MIDWEST INC. NPI 1245273085


NPI Information

NPI: 1245273085
Provider Name: RENAL CARE GROUP OF THE MIDWEST, INC.

Doing Business As: RENAL CARE GROUP SOUTHEAST MISSOURI

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 26D1050325

Address:
1723 BROADWAY ST
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 334-7861
Get Directions

RENAL CARE GROUP OF THE MIDWEST, INC. is an end-stage renal disease (esrd) treatment clinic center in Cape Girardeau, MO. RENAL CARE GROUP OF THE MIDWEST, INC. NPI is 1245273085. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Care Group Southeast Missouri.

The provider's business location address is:

1723 BROADWAY ST
CAPE GIRARDEAU, MO
ZIP 63701-566
Phone: (573) 334-7861
Fax: (573) 334-3991

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 26D1050325 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.