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USRC WAIANAE LLC NPI 1578160909


NPI Information

NPI: 1578160909
Provider Name: USRC WAIANAE, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 12D2205055

Address:
86-120 FARRINGTON HWY STE B211
WAIANAE, HI
ZIP 96792
Phone: (808) 664-8350
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USRC WAIANAE, LLC is an end-stage renal disease (esrd) treatment clinic center in Waianae, HI. USRC WAIANAE, LLC NPI is 1578160909. The provider is registered as an organization entity type.

The provider's business location address is:

86-120 FARRINGTON HWY STE B211
WAIANAE, HI
ZIP 96792-072
Phone: (808) 664-8350
Fax: (808) 664-8335

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

The CLIA number assigned to this NPI record is 12D2205055 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

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


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
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: 5/5/2024

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