RENAL CENTERS OF GUAM, LLC (NPI# 1346436441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346436441 |
| Entity Type | Organization |
| Organization Name | RENAL CENTERS OF GUAM, LLC |
| Other Organization Name | US RENAL CARE DEDEDO DIALYSIS |
| Practice Address |
600 Harmon Loop Rd Dededo GU 96929-6536 |
| Mailing Address |
5851 Legacy Cir Ste 900 Plano TX 75024-5982 |
| Practice Telephone | 6714753600 |
| Practice Fax Number | 6714772759 |
| Mailing Telephone | 2147362700 |
| Mailing Fax Number | 5624958076 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | THOMAS L. WEINBERG (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2147362700 |
| Is Organization Subpart | Y |
| Parent Organization Name | US RENAL CARE, INC. |
| 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 |
|---|---|
| US Renal Care Dededo Dialysis | Doing Business As Name - Organization |
| Street Address |
600 HARMON LOOP RD |
| City | DEDEDO |
| State | GU |
| Zip Code | 96929-6536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861588923 | Jennifer K Ross | Hearing Instrument Specialist | 600 Harmon Loop Rd, Suite 106, Dededo, GU 96929-6536 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285288134 | Benjamin Huyck | Military Health Care Provider | 22061 Carolines Ave, Andersen Afb, GU 96929 | 2019-07-30 |
| 1235782244 | Daniel Shimanski | Military Health Care Provider | 36th Mdos, Bld 26012, Carolines Ave, Andersen Afb, GUAM 96929 | 2019-07-18 |
| 1306304837 | Superdrug-yigo | Pharmacy | 525 Chalan Ramon Haya, Yigo, GU 96929 | 2019-03-04 |
| 1194214668 | Doris Marquez Querimit | Pharmacist | 600 Harmon Loop Road, Ste. 100, Dededo, GU 96929 | 2018-05-09 |
| 1487167995 | Stephanie Taijeron | Nurse Practitioner | 655 Harmon Luke Road, Suite 300, Bededo, GU 96929 | 2017-11-07 |
| 1821542119 | Rachael Marie Sells | Dentist | 36 Mdg Unit 14010, Building 26001, Apo, AP 96929 | 2016-08-04 |
| 1669832846 | Christopher Medina | Optometrist | Concourse 4 Micronesia Mall, Ideal Optical, Dededo, GU 96929 | 2016-03-01 |
| 1730557760 | Everlino Aben Ramos | Physician Assistant | 26012 Carolines Avenue, Andersen Afb, Yigo, GU 96929 | 2015-09-08 |
| 1679976039 | Tracy Repancal Sunga | Dentist | 505 Harmon Loop Rd. Suite 300, Dededo, GU 96929 | 2014-09-30 |
| 1902215239 | Christina M. Rapadas | Dentist | 505 Harmon Loop Rd., Suite 300, Dededo, GU 96929 | 2014-08-12 |
| Find all providers in zip 96929 | ||||
| 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 |
|---|---|---|---|---|
| 1881116697 | Usrc Finegayan LLC | Clinic/Center | 781 Route 3, Ste 101, Dededo, GU 96929-6913 | 2017-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831161728 | Guam Dialysis Center, Inc. | Clinic/Center | 265 Chalan Santo Papa, Hagatna, GU 96910 | 2006-02-03 |
| 1053383059 | Guam Dialysis Center, Inc. | Clinic/Center | 633 Governor Carlos B. Camacho Rd, 106, Tamuning, GU 96913 | 2006-02-03 |
| 1790090678 | Rsa-tumon, LLC | Clinic/Center | 1406 N Marine Corps Dr, Tamuning, GU 96913-4310 | 2010-08-16 |
| 1588849541 | Rsa - Guam, LLC | Clinic/Center | 736 Route 4, Suite 101, Sinajana, GU 96910-3368 | 2008-01-08 |
| 1295910255 | Rsa - Guam, LLC | Clinic/Center | 633 Gov Carlos G Camacho Rd, Suite 106, Tamuning, GU 96913-3194 | 2008-01-08 |
| 1396934253 | Guam Memorial Hospital | Clinic/Center | 850 Governor Carlos Camacho Road, Oka Tamuning, GU 96913-3128 | 2007-10-17 |
| 1447441670 | American Dialysis Center, Inc. | Clinic/Center | 1406 N Marine Corps Dr, Tamuning, GU 96913-4311 | 2007-08-05 |
Please comment or provide details below to improve the information on RENAL CENTERS OF GUAM, 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.