RELIANT RENAL CARE LAPEER LLC NPI 1871656181

NPI Information

NPI: 1871656181
Provider Name: RELIANT RENAL CARE LAPEER LLC

Doing Business As: RRC LAPEER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1375 N MAIN ST
LAPEER, MI
ZIP 48446
Phone: (810) 667-5940
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RELIANT RENAL CARE LAPEER LLC is an end-stage renal disease (esrd) treatment clinic center in Lapeer, MI. RELIANT RENAL CARE LAPEER LLC NPI is 1871656181. The provider is registered as an organization entity type.
The provider Is Doing Business As Rrc Lapeer.

The provider's business location address is:

1375 N MAIN ST
LAPEER, MI
ZIP 48446-350
Phone: (810) 667-5940
Fax: (810) 667-5945

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 23D1049090 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 4/23/2024.

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	09468	OTHER	MICHIGAN	BLUE CROSS SECONDARY

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: 5/5/2024

NPI Synchronization or Removal

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