Organization Name: | RENAL CARE GROUP EAST, INC. |
NPI Number: | 1619072998 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK FAWCETT (TREASURER) |
Mailing Address: | 420 W Linfield Trappe Rd Building B, Suite 100 Limerick |
State: | PA US |
Postal Code: | 194684278 |
Phone Number: | 6104950010 |
Fax Number: | 6104950030 |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 03/04/2009 |
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: |