RENAL DIMENSIONS LLC NPI 1821171026

NPI Information

NPI: 1821171026
Provider Name: RENAL DIMENSIONS, LLC

Doing Business As: RENAL CARE GROUP-SOUTHEAST VALLEY

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
22715 S ELLSWORTH RD
BUILDING D
QUEEN CREEK, AZ
ZIP 85242
Phone: (480) 677-2463
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RENAL DIMENSIONS, LLC is an end-stage renal disease (esrd) treatment clinic center in Queen Creek, AZ. RENAL DIMENSIONS, LLC NPI is 1821171026. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Care Group-southeast Valley.

The provider's business location address is:

22715 S ELLSWORTH RD
BUILDING D
QUEEN CREEK, AZ
ZIP 85242-119
Phone: (480) 677-2463

The provider's authorized official is Mark Fawcett .
The authorized official title is Treasurer and has the following contact phone number (781) 402-9000.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 8/22/2020.

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

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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