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RENAL CARE GROUP TUPELO LLC NPI 1851657126


NPI Information

NPI: 1851657126
Provider Name: RENAL CARE GROUP TUPELO, LLC

Doing Business As: RENAL CARE GROUP TUPELO HOME

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1542 MEDICAL PARK CIR
TUPELO, MS
ZIP 38801
Phone: (662) 841-2315
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RENAL CARE GROUP TUPELO, LLC is an end-stage renal disease (esrd) treatment clinic center in Tupelo, MS. RENAL CARE GROUP TUPELO, LLC NPI is 1851657126. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Care Group Tupelo Home.

The provider's business location address is:

1542 MEDICAL PARK CIR
TUPELO, MS
ZIP 38801-560
Phone: (662) 841-2315
Fax: (662) 341-2317

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 4/11/2012 and was last updated on 4/11/2012.


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) TreatmentMISSISSIPPIYes

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: 11/14/2023

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