RENAL CARE GROUP TUPELO, LLC (NPI# 1013029867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013029867 |
| Entity Type | Organization |
| Organization Name | RENAL CARE GROUP TUPELO, LLC |
| Other Organization Name | RCG EUPORA |
| Practice Address |
207 Meadowlane St Eupora MS 39744-2218 |
| Practice Telephone | 6622586528 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7814029000 |
| Is Organization Subpart | N |
| 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 Name | Type Code |
|---|---|
| RCG EUPORA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205334513 | Renal Care Group Tupelo, LLC | Clinic/Center | 1031 S Madison St, Tupelo, MS 38801-6309 | 2018-02-01 |
| 1144685900 | Renal Care Group Tupelo, LLC | Clinic/Center | 1612 West Church Hill Road, West Point, MS 39773 | 2015-12-22 |
| 1386046472 | Renal Care Group Tupelo, LLC | Clinic/Center | 925 Denmill Rd., New Albany, MS 38652 | 2014-09-19 |
| 1740382126 | Renal Care Group Tupelo, LLC | Clinic/Center | 2978 Mattox St., Tupelo, MS 38801-6309 | 2006-09-05 |
| 1114039963 | Renal Care Group Tupelo, LLC | Clinic/Center | 810 Alcorn Dr, Corinth, MS 38834-9380 | 2006-08-31 |
| 1679685424 | Renal Care Group Tupelo, LLC | Clinic/Center | 1760 Barron St, Oxford, MS 38655-5705 | 2006-08-31 |
| 1578675328 | Renal Care Group Tupelo, LLC | Clinic/Center | 308 Highway 8 W, Aberdeen, MS 39730-2106 | 2006-08-31 |
| 1801908637 | Renal Care Group Tupelo, LLC | Clinic/Center | 1325 Highway 4 E, Holly Springs, MS 38635-2112 | 2006-08-31 |
| 1851657126 | Renal Care Group Tupelo, LLC | Clinic/Center | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2012-04-11 |
| 1437261260 | Renal Care Group Tupelo, LLC | Clinic/Center | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2006-08-31 |
| Street Address |
207 MEADOWLANE ST |
| City | EUPORA |
| State | MS |
| Zip Code | 39744-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255991196 | Sky Family Dental, LLC | Clinic/Center | 200 Meadowlane Street, Eupora, MS 39744 | 2019-06-13 |
| 1598009466 | Encore Rehabilitation Inc | Physical Therapist | 1710 Veterans Memorial Blvd, Eupora, MS 39744 | 2012-11-16 |
| 1700943180 | Supervalue Pharmacy | Durable Medical Equipment & Medical Supplies | 210 A Veterans Blvd N, Eupora, MS 39744 | 2007-01-03 |
| 1285738518 | North Mississippi Medical Clinics Inc | Family Medicine | 500 A Highway 9 South, Eupora, MS 39744 | 2006-09-08 |
| 1336241678 | Daniel Dean Hall | Dentist | 405 West Roane Ave, Eupora, MS 39744 | 2006-09-05 |
| 1093795148 | Murphy Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 65 Medical Plaza, Eupora, MS 39744 | 2006-01-17 |
| 1750991311 | Candace Carolyne Cain | Nurse Practitioner | 1538 Veterans Memorial Blvd, Eupora, MS 39744 | 2020-08-07 |
| 1780062265 | April S Dabbs | Pharmacist | 1536 Veterans Memorial Blvd, Eupora, MS 39744 | 2015-05-15 |
| 1891279030 | Haley Murphy | Nurse Practitioner | 1538 Veterans Memorial Blvd, Eupora, MS 39744-2001 | 2018-09-24 |
| 1467862961 | Dabbs Family Pharmacy LLC | Pharmacy | 1536 Veterans Memorial Blvd, Eupora, MS 39744-2001 | 2014-05-06 |
| Find all providers in zip 39744 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1013535780 | Fresenius Medical Care Meridian Home, LLC | Clinic/Center | 2400 15th St, Meridian, MS 39301-3951 | 2020-07-09 |
| 1922631837 | Fresenius Medical Care Dogwood, LLC | Clinic/Center | 205b Belle Meade Pt, Flowood, MS 39232-3311 | 2020-02-19 |
| 1669944120 | Fresenius Medical Care Adams County Home, LLC | Clinic/Center | 151 Jefferson Davis Blvd Ste D, Natchez, MS 39120-5140 | 2018-12-21 |
| 1205334513 | Renal Care Group Tupelo, LLC | Clinic/Center | 1031 S Madison St, Tupelo, MS 38801-6309 | 2018-02-01 |
| 1801310768 | Hattiesburg Clinic, Pa | Clinic/Center | 5909 Hwy 49 S, Suite 14, Hattiesburg, MS 39402-2860 | 2017-08-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1710411707 | Rcg Mississippi, Inc. | Clinic/Center | 1100 Central Drive, Philadelphia, MS 39350 | 2017-04-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RENAL CARE GROUP TUPELO, LLC.
| 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.