Renal Care Group Arizona, Llc in Mammoth - End-stage Renal Disease (esrd) Treatment
Renal Care Group Arizona, Llc - NPI 1104928373
Renal Care Group Arizona, Llc is a End-stage Renal Disease (esrd) Treatment in Mammoth, Arizona. Renal Care Group Arizona, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Renal Care Group Arizona, Llc is 1104928373. The last update date is 2023-10-17.
Renal Care Group Arizona, Llc's current location address is 14786 S State Highway 77, Mammoth, Arizona. You can contact this provider via phone number 5204870150 and fax number 5204870156. The mailing address for Renal Care Group Arizona, Llc is 14786 S State Highway 77, Mammoth, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Renal Care Group Arizona, Llc |
|---|---|
| Address | 14786 S State Highway 77, Mammoth, Arizona |
| Phone Number | 5204870150 |
| Fax Number | 5204870156 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Blanton L. Barry |
| Telephone Number | 7816999000 |
NPI Number Detail
| NPI Number | 1104928373 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2023-10-17 |
Provider Mailing Address Detail
| Address | 14786 S State Highway 77 |
|---|---|
| City | Mammoth |
| State | Arizona (AZ) |
| Post Code | 856180000 |
| Phone Number | 5204870150 |
| Fax Number | 5204870156 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Post Comment/ Review Below
What is the Renal Care Group Arizona, Llc's unique identification number?
The Renal Care Group Arizona, Llc has been assigned the NPI (National Provider Identifier) Number 1104928373 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Renal Care Group Arizona, Llc is physically located?
The Renal Care Group Arizona, Llc is situated at the following address: 14786 S State Highway 77, Mammoth, AZ 856180000.
What is Renal Care Group Arizona, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Renal Care Group Arizona, Llc's area of specialization is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this field of practice is 261Qe0700X.
When was the Renal Care Group Arizona, Llc's 1104928373 issued?
The Renal Care Group Arizona, Llc's 1104928373 was issued on 2006-09-01.
When was the information pertaining to Renal Care Group Arizona, Llc most recently updated or revised?
The details related to Renal Care Group Arizona, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2023-10-17.