DIALYSIS NEWCO INC. NPI 1760438337

NPI Information

NPI: 1760438337
Provider Name: DIALYSIS NEWCO, INC.

Doing Business As: U.S. RENAL CARE SOUTH MEMPHIS DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3960 KNIGHT ARNOLD RD
SUITE 107
MEMPHIS, TN
ZIP 38118
Phone: (901) 369-6012
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DIALYSIS NEWCO, INC. is an end-stage renal disease (esrd) treatment clinic center in Memphis, TN. DIALYSIS NEWCO, INC. NPI is 1760438337. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care South Memphis Dialysis.

The provider's business location address is:

3960 KNIGHT ARNOLD RD
SUITE 107
MEMPHIS, TN
ZIP 38118-035
Phone: (901) 369-6012
Fax: (901) 369-8129

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Authorized Official and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 44D1003431 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 1/9/2017.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	442605	MEDICARE OSCAR/CERTIFICATION
2	0442605	MEDICAID	TENNESSEE

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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