RAI CARE CENTERS OF ILLINOIS II, LLC


Address: 527 Hamacher Road, Waterloo, IL 62298-6185
Phone: 6185267370

RAI CARE CENTERS OF ILLINOIS II, LLC (NPI# 1003919341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003919341
Entity Type Organization
Organization Name RAI CARE CENTERS OF ILLINOIS II, LLC
Other Organization Name RAI-HAMACHER-WATERLOO
Practice Address 527 Hamacher Road
Waterloo
IL 62298-6185
Practice Telephone 6185267370
Practice Fax Number 6189399006
Mailing Telephone 6185267370
Mailing Fax Number 6189399006
Enumeration Date 2006-09-05
Last Update Date 2014-07-24
Authorized Official Name MR. MARK R FAWCETT (TREASURER)
Authorized Official Telephone 7816999000
Is Organization Subpart Y
Parent Organization Name FRESENIUS MEDICAL CARE HOLDINGS, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
RAI-Hamacher-Waterloo Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1437244027 Rai Care Centers of Illinois II, LLC Clinic/Center 1112 Centre West Drive, Springfield, IL 62704-2100 2006-10-03

Office Location

Street Address 527 HAMACHER ROAD
City WATERLOO
State IL
Zip Code 62298-6185

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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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1861882227 Fresenius Medical Care of Illinois, LLC Clinic/Center 624 Voris-jost Dr., Waterloo, IL 62298-1568 2015-01-23
1558807370 Renal Treatment Centers- Mid-atlantic, Inc Clinic/Center 1661 W Ridgeway Ave, Waterloo, IA 50701-4541 2017-01-18
1184868267 Renal Treatment Centers Illinois Inc Clinic/Center 3421 W 9th St, Waterloo, IA 50702-5401 2009-04-21
1154566479 Renal Treatment Centers Illinois Inc Clinic/Center 1661 W Ridgeway Ave, Waterloo, IA 50701-4541 2008-12-16
1932154697 Cedar Valley Medical Specialists PC Clinic/Center 1661 W Ridgeway Ave, Waterloo, IA 50701-4541 2006-05-23

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Competitor

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City WATERLOO
Zip Code 62298

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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