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RENAL CARE GROUP ARIZONA LLC NPI 1306958111


NPI Information

NPI: 1306958111
Provider Name: RENAL CARE GROUP ARIZONA, LLC

Doing Business As: RENAL CARE GROUP - GLOBE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 03D0641974

Address:
2250 E HIGHWAY 60 STE O-2
MIAMI, AZ
ZIP 85539
Phone: (928) 425-2624
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RENAL CARE GROUP ARIZONA, LLC is an end-stage renal disease (esrd) treatment clinic center in Miami, AZ. RENAL CARE GROUP ARIZONA, LLC NPI is 1306958111. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Care Group - Globe.

The provider's business location address is:

2250 E HIGHWAY 60 STE O-2
MIAMI, AZ
ZIP 85539-717
Phone: (928) 425-2624
Fax: (928) 425-8318

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 03D0641974 - 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:

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

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