1861504664 NPI number — RENAL CARE GROUP OF THE MIDWEST INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861504664 NPI number — RENAL CARE GROUP OF THE MIDWEST INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RENAL CARE GROUP OF THE MIDWEST INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
RCG PONCA CITY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861504664
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/30/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1208 E HARTFORD AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PONCA CITY
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74601-2017
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
580-718-9357
Provider Business Mailing Address Fax Number:
580-718-9421

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1208 E HARTFORD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PONCA CITY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74601-2017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-718-9357
Provider Business Practice Location Address Fax Number:
580-718-9421
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FAWCETT
Authorized Official First Name:
MARK
Authorized Official Middle Name:
R
Authorized Official Title or Position:
TREASURER
Authorized Official Telephone Number:
781-699-9000

Provider Taxonomy Codes

  • Taxonomy code: 261QE0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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