IRC HILL COUNTRY LLC NPI 1376138479

NPI Information

NPI: 1376138479
Provider Name: IRC HILL COUNTRY LLC

Doing Business As: IRC-SAN ANTONIO-MEDICAL DRIVE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3939 MEDICAL DR STE 110
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 692-3075
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IRC HILL COUNTRY LLC is an end-stage renal disease (esrd) treatment clinic center in San Antonio, TX. IRC HILL COUNTRY LLC NPI is 1376138479. The provider is registered as an organization entity type.
The provider Is Doing Business As Irc-san Antonio-medical Drive.

The provider's business location address is:

3939 MEDICAL DR STE 110
SAN ANTONIO, TX
ZIP 78229-292
Phone: (210) 692-3075
Fax: (210) 949-4551

The provider's authorized official is Sara Anne Brady .
The authorized official title is Chief Nursing Officer and has the following contact phone number (208) 371-7878.

The CLIA number assigned to this NPI record is 45D0984668 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2021 and was last updated on 1/10/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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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