RENAL CARE GROUP OF THE OZARKS LLC NPI 1396857264

NPI Information

RENAL CARE GROUP OF THE OZARKS, LLC is an end-stage renal disease (esrd) treatment clinic center in Bolivar, MO. RENAL CARE GROUP OF THE OZARKS, LLC NPI is 1396857264. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Care Group Bolivar.

The provider's business location address is:

2101 W BROADWAY ST
BOLIVAR, MO
ZIP 65613-888
Phone: (417) 326-3112
Fax: (417) 777-6363

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 26D0937325 - other - limited liability company with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/16/2023.

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:

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