RENAL CARE GROUP TUPELO LLC NPI 1679685424

NPI Information

RENAL CARE GROUP TUPELO, LLC is an end-stage renal disease (esrd) treatment clinic center in Oxford, MS. RENAL CARE GROUP TUPELO, LLC NPI is 1679685424. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Care Group Oxford.

The provider's business location address is:

1760 BARRON ST
OXFORD, MS
ZIP 38655-705
Phone: (662) 234-3412

The provider's authorized official is Mark Fawcett .
The authorized official title is Treasurer and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 25D0666537 - 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 10/10/2011.

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:

Other Identifiers

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