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RENAL CARE GROUP SOUTHWEST MICHIGAN LLC NPI 1932214780


NPI Information

NPI: 1932214780
Provider Name: RENAL CARE GROUP SOUTHWEST MICHIGAN, LLC

Doing Business As: RCG SOUTH HAVEN

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 23D1025265

Address:
199 VETERANS BLVD
SOUTH HAVEN, MI
ZIP 49090
Phone: (269) 639-1800
Get Directions

RENAL CARE GROUP SOUTHWEST MICHIGAN, LLC is an end-stage renal disease (esrd) treatment clinic center in South Haven, MI. RENAL CARE GROUP SOUTHWEST MICHIGAN, LLC NPI is 1932214780. The provider is registered as an organization entity type.
The provider Is Doing Business As Rcg South Haven.

The provider's business location address is:

199 VETERANS BLVD
SOUTH HAVEN, MI
ZIP 49090-652
Phone: (269) 639-1800
Fax: (269) 639-1188

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 23D1025265 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 10/16/2023.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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

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