RCG MISSISSIPPI INC. NPI 1932636495

NPI Information

RCG MISSISSIPPI, INC. is an end-stage renal disease (esrd) treatment clinic center in Meridian, MS. RCG MISSISSIPPI, INC. NPI is 1932636495. The provider is registered as an organization entity type.
The provider Is Doing Business As Lauderdale County Dialysis.

The provider's business location address is:

1300 38TH AVE
MERIDIAN, MS
ZIP 39301-528
Phone: (601) 482-4808
Fax: (601) 482-4809

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 25D2135815 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2017 and was last updated on 9/1/2021.

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:

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