NPI 1114039963 RENAL CARE GROUP TUPELO, LLC CORINTH MS. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Renal Care Group Tupelo, Llc - NPI: 1114039963

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: RENAL CARE GROUP TUPELO, LLC
NPI Number: 1114039963
Entity Type Code: Organizational (2)
Authorized Official Name: MARK FAWCETT
(TREASURER)
Mailing Address: 810 Alcorn Dr
Corinth
State: MS US
Postal Code: 388349380
Phone Number: 6622879577
Fax Number:
NPI Enumeration Date: 08/31/2006
NPI Last Update Date: 10/10/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QE0700X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: End-Stage Renal Disease (ESRD) Treatment
Taxonomy Definition:


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