RCG TUNICA, LLC (NPI# 1073625760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073625760 |
| Entity Type | Organization |
| Organization Name | RCG TUNICA, LLC |
| Other Organization Name | RCG TUNICA |
| Practice Address |
1821 U.S. Hwy. 61 North Tunica MS 38676 |
| Practice Telephone | 6623632620 |
| 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 TUNICA | Doing Business As Name - Organization |
| Street Address |
1821 U.S. HWY. 61 NORTH |
| City | TUNICA |
| State | MS |
| Zip Code | 38676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255940615 | Bernude Jesucat | Speech-Language Pathologist | 1024 Us-61, Tunica, MS 38676 | 2020-07-30 |
| 1588215040 | Scpg Mississippi LLC | Pharmacy | 1068 Hwy 61 N, Tunica, MS 38676 | 2019-09-26 |
| 1265836142 | Freds Stores of Tennessee Inc | Pharmacy | 1068 Highway 61 N., Tunica, MS 38676 | 2014-10-21 |
| 1316278328 | Delta House Calls | Nurse Practitioner | 2073 Old Hwy 61 North, Suite # 2, Tunica, MS 38676 | 2010-01-15 |
| 1104074228 | Ebenezer Home Care LLC | Homemaker | 1189 Main St, Tunicia, MS 38676 | 2008-09-03 |
| 1639356611 | Vincent H Copeland | Dentist | 1040 Highway 61 South, Tunica, MS 38676 | 2008-01-22 |
| 1609063742 | Phillip Parker | Counselor | 1459 Main St., Tunica, MS 38676 | 2007-10-03 |
| 1245360148 | Tunica County Healthcare Authority | Family Medicine | 1813 U. S. Highway 61 North, Tunica, MS 38676 | 2007-03-07 |
| 1780749739 | Tunica Quality Drugs, Inc | Pharmacy | 1068 Highway 61 N, Tunica, MS 38676 | 2006-12-27 |
| 1538120258 | Preventive Care Health Services LLC | Nurse Practitioner | 2073 Old Highway 61 N, Ste#2, Tunica, MS 38676 | 2006-03-31 |
| Find all providers in zip 38676 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
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| Find all providers with the same taxonomy | ||||
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| 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.