USRC CASPER LLC NPI 1306392261

NPI Information

USRC CASPER, LLC is an end-stage renal disease (esrd) treatment clinic center in Casper, WY. USRC CASPER, LLC NPI is 1306392261. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care Casper Dialysis.

The provider's business location address is:

1300 VENTURE WAY
SUITE 100
CASPER, WY
ZIP 82609-353
Phone: (307) 265-2878
Fax: (307) 472-2019

The provider's authorized official is Thomas L Weinberg .
The authorized official title is Authorized Official and has the following contact phone number (214) 736-2730.

The CLIA number assigned to this NPI record is 53D2119361 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2016 and was last updated on 8/31/2016.

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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