Renal Care Group Of The Southeast, Inc. in Crestview - End-stage Renal Disease (esrd) Treatment

Renal Care Group Of The Southeast, Inc. - NPI 1801908645

Renal Care Group Of The Southeast, Inc. is a End-stage Renal Disease (esrd) Treatment in Crestview, Florida. Renal Care Group Of The Southeast, Inc. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Renal Care Group Of The Southeast, Inc. is 1801908645. The last update date is 2023-10-16.

Renal Care Group Of The Southeast, Inc.'s current location address is 223 E Redstone Ave, Crestview, Florida. You can contact this provider via phone number 8506036295 and fax number 8506036300. The mailing address for Renal Care Group Of The Southeast, Inc. is 223 E Redstone Ave, Crestview, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Renal Care Group Of The Southeast, Inc.
Address 223 E Redstone Ave, Crestview, Florida
Phone Number 8506036295
Fax Number 8506036300
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Blanton L. Barry
Telephone Number 7816999000

NPI Number Detail

NPI Number 1801908645
Provider Enumeration Date 2006-08-31
Last Updated Date 2023-10-16

Provider Mailing Address Detail

Address 223 E Redstone Ave
City Crestview
State Florida (FL)
Post Code 325395373
Phone Number 8506036295
Fax Number 8506036300

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
200496801 FL --

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FAQs about Renal Care Group Of The Southeast, Inc.

What is the Renal Care Group Of The Southeast, Inc.'s unique identification number?

The Renal Care Group Of The Southeast, Inc. has been assigned the NPI (National Provider Identifier) Number 1801908645 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Renal Care Group Of The Southeast, Inc. is geographically located?

The Renal Care Group Of The Southeast, Inc. is physically situated at the following location: 223 E Redstone Ave, Crestview, FL, 325395373.

What is the area of specialization for Renal Care Group Of The Southeast, Inc., and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Renal Care Group Of The Southeast, Inc. is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of expertise is 261Qe0700X.

On what date was the 1801908645 assigned to Renal Care Group Of The Southeast, Inc.?

The Renal Care Group Of The Southeast, Inc. was issued its 1801908645 on 2006-08-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Renal Care Group Of The Southeast, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Renal Care Group Of The Southeast, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-10-16.

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