Usrc Of Se Arkansas Llc in Jonesboro - End-stage Renal Disease (esrd) Treatment
Usrc Of Se Arkansas Llc - NPI 1619071305
Usrc Of Se Arkansas Llc is a End-stage Renal Disease (esrd) Treatment in Jonesboro, Arkansas. Usrc Of Se Arkansas Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Usrc Of Se Arkansas Llc is 1619071305. The last update date is 2013-10-28.
Usrc Of Se Arkansas Llc's current location address is Po Box 19119, Jonesboro, Arkansas. You can contact this provider via phone number 8709315400 and fax number 8709315418. The mailing address for Usrc Of Se Arkansas Llc is Po Box 19119, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Usrc Of Se Arkansas Llc |
|---|---|
| Address | Po Box 19119, Jonesboro, Arkansas |
| Phone Number | 8709315400 |
| Fax Number | 8709315418 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Weinberg L Thomas |
| Telephone Number | 9727362700 |
NPI Number Detail
| NPI Number | 1619071305 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2013-10-28 |
Provider Mailing Address Detail
| Address | Po Box 19119 |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 724036601 |
| Phone Number | 8709315400 |
| Fax Number | 8709315418 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 162017134 | AR | -- | |
| 12579 | AR | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Usrc Of Se Arkansas Llc by the Centers for Medicare & Medicaid Services?
The Usrc Of Se Arkansas Llc has been issued the NPI (National Provider Identifier) 1619071305 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Usrc Of Se Arkansas Llc's facilities are situated?
The facilities of Usrc Of Se Arkansas Llc are physically located at the following address: Po Box 19119, Jonesboro, AR, 724036601.
What is Usrc Of Se Arkansas Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Usrc Of Se Arkansas 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.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619071305 to Usrc Of Se Arkansas Llc?
The Centers for Medicare & Medicaid Services originally issued the 1619071305 to Usrc Of Se Arkansas Llc on 2006-09-12.
As of what date were the details pertaining to Usrc Of Se Arkansas Llc last refreshed?
The information related to the Usrc Of Se Arkansas Llc, including its address, specialty, and other relevant details, was last updated on 2013-10-28.
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