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RENAL CARE GROUP OF THE MIDWEST INC. NPI 1750496576


NPI Information

NPI: 1750496576
Provider Name: RENAL CARE GROUP OF THE MIDWEST, INC.

Doing Business As: RENAL CARE GROUP CHANUTE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
703 S PLUMMER AVE
CHANUTE, KS
ZIP 66720
Phone: (620) 431-1239
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RENAL CARE GROUP OF THE MIDWEST, INC. is an end-stage renal disease (esrd) treatment clinic center in Chanute, KS. RENAL CARE GROUP OF THE MIDWEST, INC. NPI is 1750496576. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Care Group Chanute.

The provider's business location address is:

703 S PLUMMER AVE
CHANUTE, KS
ZIP 66720-552
Phone: (620) 431-1239
Fax: (620) 431-1763

The provider's authorized official is Mark R 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 8/20/2006 and was last updated on 3/25/2011.


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:

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
1172512MEDICARE OSCAR/CERTIFICATIONKANSAS

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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