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RENAL CAREPARTNERS OF ROSWELL LLC NPI 1477841310


NPI Information

NPI: 1477841310
Provider Name: RENAL CAREPARTNERS OF ROSWELL LLC

Doing Business As: U.S. RENAL CARE ROSWELL DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 11D2030001

Address:
11660 ALPHARETTA HWY
SUITE 650
ROSWELL, GA
ZIP 30076
Phone: (305) 512-0014
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RENAL CAREPARTNERS OF ROSWELL LLC is an end-stage renal disease (esrd) treatment clinic center in Roswell, GA. RENAL CAREPARTNERS OF ROSWELL LLC NPI is 1477841310. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care Roswell Dialysis.

The provider's business location address is:

11660 ALPHARETTA HWY
SUITE 650
ROSWELL, GA
ZIP 30076-943
Phone: (305) 512-0014
Fax: (800) 986-1260

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Authorized Official and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 11D2030001 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2011 and was last updated on 10/25/2013.


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) TreatmentGEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003122577AMEDICAIDGEORGIA
2112845MEDICARE OSCAR/CERTIFICATION

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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