| Organization Name: | RENAL CARE CONSULTANTS, PC |
| NPI Number: | 1174764013 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE J FREM (MEDICAL DIRECTOR/PRESIDENT/CEO) |
| Mailing Address: | 700 5th St Suite 200 Windber |
| State: | PA US |
| Postal Code: | 159631313 |
| Phone Number: | 8145390798 |
| Fax Number: | 8145364751 |
| NPI Enumeration Date: | 03/23/2009 |
| NPI Last Update Date: | 08/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA002696L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |