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USRC TONAWANDA INC NPI 1740583087


NPI Information

NPI: 1740583087
Provider Name: USRC TONAWANDA INC

Doing Business As: US RENAL CARE TONAWANDA DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 33D2029389

Address:
3161 EGGERT RD
TONAWANDA, NY
ZIP 14150
Phone: (716) 832-0159
Get Directions

USRC TONAWANDA INC is an end-stage renal disease (esrd) treatment clinic center in Tonawanda, NY. USRC TONAWANDA INC NPI is 1740583087. The provider is registered as an organization entity type.
The provider Is Doing Business As Us Renal Care Tonawanda Dialysis.

The provider's business location address is:

3161 EGGERT RD
TONAWANDA, NY
ZIP 14150-156
Phone: (716) 832-0159
Fax: (716) 832-0353

The provider's authorized official is Thomas L Weinberg .
The authorized official title is Senior Vp/general Counsel and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 33D2029389 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2010 and was last updated on 1/23/2013.


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
103432419MEDICAIDNEW YORK
2332685MEDICARE OSCAR/CERTIFICATION

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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