Rcg Of Lake Village, Llc in Lake Village - End-stage Renal Disease (esrd) Treatment
Rcg Of Lake Village, Llc - NPI 1902918790
Rcg Of Lake Village, Llc is a End-stage Renal Disease (esrd) Treatment in Lake Village, Arkansas. Rcg Of Lake Village, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Rcg Of Lake Village, Llc is 1902918790. The last update date is 2012-04-24.
Rcg Of Lake Village, Llc's current location address is 505 St. Mary Street, Lake Village, Arkansas. You can contact this provider via phone number 8702653837 and fax number 8702655061. The mailing address for Rcg Of Lake Village, Llc is 505 St. Mary Street, Lake Village, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rcg Of Lake Village, Llc |
|---|---|
| Address | 505 St. Mary Street, Lake Village, Arkansas |
| Phone Number | 8702653837 |
| Fax Number | 8702655061 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kronfol O Ned |
| Credentials | M.D. |
| Telephone Number | 6623354105 |
NPI Number Detail
| NPI Number | 1902918790 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2012-04-24 |
Provider Mailing Address Detail
| Address | 505 St. Mary Street |
|---|---|
| City | Lake Village |
| State | Arkansas (AR) |
| Post Code | 716531722 |
| Phone Number | 8702653837 |
| Fax Number | 8702655061 |
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. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Rcg Of Lake Village, Llc by the Centers for Medicare & Medicaid Services?
The Rcg Of Lake Village, Llc has been issued the NPI (National Provider Identifier) 1902918790 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Rcg Of Lake Village, Llc's physical address?
The Rcg Of Lake Village, Llc is physically located at 505 St. Mary Street, in the city of Lake Village, AR, with the postal code 716531722.
What is Rcg Of Lake Village, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Rcg Of Lake Village, 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 did Rcg Of Lake Village, Llc receive its 1902918790 assignment?
The Rcg Of Lake Village, Llc was assigned its 1902918790 on 2006-08-31, which is the date when this unique identifier was issued to the organization.
When was the information related to Rcg Of Lake Village, Llc most recently updated or refreshed?
The details pertaining to the Rcg Of Lake Village, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-04-24.
NPI Number: 1871596916
Address: 2201 Brooken Hill Dr, Fort Smith, AR
NPI Number: 1912900044
Address: 2201 Brooken Hill Dr, Fort Smith, AR
NPI Number: 1073517967
Address: 17815 Ventura Blvd, Encino, CA
NPI Number: 1225032253
Address: 3939 Medical Dr Ste 110, San Antonio, TX
NPI Number: 1568466506
Address: 3939 Medical Dr, San Antonio, TX