Renal Care Group Tupelo, Llc in Corinth - End-stage Renal Disease (esrd) Treatment
Renal Care Group Tupelo, Llc - NPI 1114039963
Renal Care Group Tupelo, Llc is a End-stage Renal Disease (esrd) Treatment in Corinth, Mississippi. Renal Care Group Tupelo, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Renal Care Group Tupelo, Llc is 1114039963. The last update date is 2023-10-16.
Renal Care Group Tupelo, Llc's current location address is 810 Alcorn Dr, Corinth, Mississippi. You can contact this provider via phone number 6622879577 and fax number 6622862786. The mailing address for Renal Care Group Tupelo, Llc is 810 Alcorn Dr, Corinth, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Renal Care Group Tupelo, Llc |
|---|---|
| Address | 810 Alcorn Dr, Corinth, Mississippi |
| Phone Number | 6622879577 |
| Fax Number | 6622862786 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Blanton L. Barry |
| Telephone Number | 7816999000 |
NPI Number Detail
| NPI Number | 1114039963 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2023-10-16 |
Provider Mailing Address Detail
| Address | 810 Alcorn Dr |
|---|---|
| City | Corinth |
| State | Mississippi (MS) |
| Post Code | 388349380 |
| Phone Number | 6622879577 |
| Fax Number | 6622862786 |
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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What is the Renal Care Group Tupelo, Llc's unique identification number?
The Renal Care Group Tupelo, Llc has been assigned the NPI (National Provider Identifier) Number 1114039963 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Renal Care Group Tupelo, Llc's physical address?
The Renal Care Group Tupelo, Llc is physically located at 810 Alcorn Dr, in the city of Corinth, MS, with the postal code 388349380.
What is the Renal Care Group Tupelo, Llc's area of specialization and corresponding taxonomy classification?
The Renal Care Group Tupelo, Llc's specialty field is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1114039963 to Renal Care Group Tupelo, Llc?
The Centers for Medicare & Medicaid Services assigned the 1114039963 to Renal Care Group Tupelo, Llc on 2006-08-31.
When was the information related to Renal Care Group Tupelo, Llc most recently updated or refreshed?
The details pertaining to the Renal Care Group Tupelo, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-10-16.
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