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RENAL CARE GROUP ALASKA INC. NPI 1689786485


NPI Information

NPI: 1689786485
Provider Name: RENAL CARE GROUP ALASKA, INC.

Doing Business As: RCG FAIRBANKS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1863 AIRPORT WAY
FAIRBANKS, AK
ZIP 99701
Phone: (907) 452-2900
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RENAL CARE GROUP ALASKA, INC. is an end-stage renal disease (esrd) treatment clinic center in Fairbanks, AK. RENAL CARE GROUP ALASKA, INC. NPI is 1689786485. The provider is registered as an organization entity type.
The provider Is Doing Business As Rcg Fairbanks.

The provider's business location address is:

1863 AIRPORT WAY
FAIRBANKS, AK
ZIP 99701-007
Phone: (907) 452-2900

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 enumeration date for this NPI number is 8/31/2006 and was last updated on 7/24/2014.


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

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
1022502MEDICARE OSCAR/CERTIFICATIONOREGON
2022502MEDICARE OSCAR/CERTIFICATIONALASKA

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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