Trc - Petersburg Llc in Petersburg - End-stage Renal Disease (esrd) Treatment

Trc - Petersburg Llc - NPI 1366406613

Trc - Petersburg Llc is a End-stage Renal Disease (esrd) Treatment in Petersburg, Virginia. Trc - Petersburg Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Trc - Petersburg Llc is 1366406613. The last update date is 2022-09-15.

Trc - Petersburg Llc's current location address is 20 Medical Park Blvd, Petersburg, Virginia. You can contact this provider via phone number 8048610967 and fax number 8048610796. The mailing address for Trc - Petersburg Llc is 20 Medical Park Blvd, Petersburg, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Trc - Petersburg Llc
Address 20 Medical Park Blvd, Petersburg, Virginia
Phone Number 8048610967
Fax Number 8048610796
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF ACCO
Authorized Official Name Winstel John
Telephone Number 2537334501

NPI Number Detail

NPI Number 1366406613
Provider Enumeration Date 2006-04-13
Last Updated Date 2022-09-15

Provider Mailing Address Detail

Address 20 Medical Park Blvd
City Petersburg
State Virginia (VA)
Post Code 238059280
Phone Number 8048610967
Fax Number 8048610796

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
1366406613 VA --

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FAQs about Trc - Petersburg Llc

What is the unique 10-digit identification code assigned to Trc - Petersburg Llc by the Centers for Medicare & Medicaid Services?

The Trc - Petersburg Llc has been issued the NPI (National Provider Identifier) 1366406613, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Trc - Petersburg Llc's facilities are situated?

The facilities of Trc - Petersburg Llc are physically located at the following address: 20 Medical Park Blvd, Petersburg, VA, 238059280.

What is Trc - Petersburg Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Trc - Petersburg Llc is End-stage Renal Disease (esrd) Treatment, and the taxonomy classification code that categorizes this area of expertise is 261Qe0700X.

On what date was the 1366406613 assigned to Trc - Petersburg Llc?

The Trc - Petersburg Llc was issued its 1366406613 on 2006-04-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Trc - Petersburg Llc's details last updated?

The information pertaining to the Trc - Petersburg Llc, including its address, specialty, and other details, was most recently updated on 2022-09-15.

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