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RCG MISSISSIPPI INC. NPI 1356453187


NPI Information

NPI: 1356453187
Provider Name: RCG MISSISSIPPI, INC.

Doing Business As: RCG MACON

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 25D0968002

Address:
1479 WASHINGTON ST
MACON, MS
ZIP 39341
Phone: (662) 726-9866
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RCG MISSISSIPPI, INC. is an end-stage renal disease (esrd) treatment clinic center in Macon, MS. RCG MISSISSIPPI, INC. NPI is 1356453187. The provider is registered as an organization entity type.
The provider Is Doing Business As Rcg Macon.

The provider's business location address is:

1479 WASHINGTON ST
MACON, MS
ZIP 39341-393
Phone: (662) 726-9866
Fax: (662) 726-9010

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 25D0968002 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/14/2021.


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: 11/14/2023

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