RENAL CARE CONSULTANTS PC NPI 1417948340

NPI Information

  • NPI: 1417948340
  • Provider Name: RENAL CARE CONSULTANTS PC
  • Classification: Technician, Other - 2472R0900X
  • Specialization: Renal Dialysis
  • Entity Type: Organization
  • Doing Business As: REDWOOD DIALYSIS SERVICES
  • CLIA Number: 38D0888467
  • Address: 2868 CREEKSIDE CIR
    MEDFORD, OR
    ZIP 97504
  • Phone: (541) 776-4805

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NPI Details

RENAL CARE CONSULTANTS PC is a renal dialysis technician other in Medford, OR. RENAL CARE CONSULTANTS PC NPI is 1417948340. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Redwood Dialysis Services.

The provider's business location address is:

2868 CREEKSIDE CIR
MEDFORD, OR
ZIP 97504-442
Phone: (541) 776-4805
Fax: (541) 773-6016

The provider's authorized official is Karen Mcewen .
The authorized official title is Administrator and has the following contact phone number (541) 776-4805.

The CLIA number assigned to this NPI record is 38D0888467 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2005 and was last updated on 8/22/2020.

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
12472R0900XTechnician, OtherRenal DialysisYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1208391MEDICAIDOREGON
2XCDC00694OTHERCALIFORNIAMEDI CAL

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: 3/30/2025

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