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RENAL CARE GROUP ARIZONA LLC NPI 1659483469


NPI Information

NPI: 1659483469
Provider Name: RENAL CARE GROUP ARIZONA, LLC

Doing Business As: RENAL CARE GROUP - SUN LAKES

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 03D0952426

Address:
9666 E RIGGS RD STE 143
SUN LAKES, AZ
ZIP 85248
Phone: (480) 883-1301
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RENAL CARE GROUP ARIZONA, LLC is an end-stage renal disease (esrd) treatment clinic center in Sun Lakes, AZ. RENAL CARE GROUP ARIZONA, LLC NPI is 1659483469. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Care Group - Sun Lakes.

The provider's business location address is:

9666 E RIGGS RD STE 143
SUN LAKES, AZ
ZIP 85248-509
Phone: (480) 883-1301
Fax: (480) 883-1308

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 03D0952426 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/17/2023.


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:

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: 4/28/2024

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