RENAL CARE CONSULTANTS PC NPI 1972594059

NPI Information

NPI: 1972594059
Provider Name: RENAL CARE CONSULTANTS PC

Doing Business As: ROGUE VALLEY DIALYSIS SERVICES

Classification: Technician, Other - 2472R0900X
Entity Type: Organization

Specialization: Renal Dialysis

Address:
2868 CREEKSIDE CIR
MEDFORD, OR
ZIP 97504
Phone: (541) 776-4805
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RENAL CARE CONSULTANTS PC is a renal dialysis technician other in Medford, OR. RENAL CARE CONSULTANTS PC NPI is 1972594059. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rogue Valley Dialysis Services.

The provider's business location address is:

2868 CREEKSIDE CIR
MEDFORD, OR
ZIP 97504-442
Phone: (541) 776-4805
Fax: (541) 773-6016

The provider's authorized official is Karen Mcewen .
The authorized official title is Administrator and has the following contact phone number (541) 776-4805.

The CLIA number assigned to this NPI record is 38D0656900 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2005 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	2472R0900X	Technician, Other	Renal Dialysis			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	XCDC00693	OTHER	CALIFORNIA	MEDI CAL
2	208390	MEDICAID	OREGON

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

NPI Synchronization or Removal

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