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RCG MARTIN LLC NPI 1619089448


NPI Information

NPI: 1619089448
Provider Name: RCG MARTIN, LLC

Doing Business As: RENAL CARE GROUP UNION CITY

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 44D1020773

Address:
1117 S MILES AVE
UNION CITY, TN
ZIP 38261
Phone: (731) 884-0914
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RCG MARTIN, LLC is an end-stage renal disease (esrd) treatment clinic center in Union City, TN. RCG MARTIN, LLC NPI is 1619089448. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Care Group Union City.

The provider's business location address is:

1117 S MILES AVE
UNION CITY, TN
ZIP 38261-439
Phone: (731) 884-0914
Fax: (781) 884-3877

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 44D1020773 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/23/2021.


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) 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: 11/14/2023

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