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RCG MERCY DES MOINES LLC NPI 1740393883


NPI Information

NPI: 1740393883
Provider Name: RCG MERCY DES MOINES, LLC

Doing Business As: FRESENIUS MEDICAL CARE DES MOINES SOUTH

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 16D1083657

Address:
6651 SW 9TH ST
DES MOINES, IA
ZIP 50315
Phone: (515) 285-3032
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RCG MERCY DES MOINES, LLC is an end-stage renal disease (esrd) treatment clinic center in Des Moines, IA. RCG MERCY DES MOINES, LLC NPI is 1740393883. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Des Moines South.

The provider's business location address is:

6651 SW 9TH ST
DES MOINES, IA
ZIP 50315-138
Phone: (515) 285-3032
Fax: (515) 285-3146

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 16D1083657 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 10/16/2023.


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 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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