RENAL CARE GROUP TUPELO LLC (NPI# 1538271366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538271366 |
| Entity Type | Organization |
| Organization Name | RENAL CARE GROUP TUPELO LLC |
| Other Organization Name | RCG SARDIS |
| Practice Address |
200 E Frontage Rd Sardis MS 38666-1339 |
| Practice Telephone | 6624873938 |
| Practice Fax Number | 6624873051 |
| Mailing Telephone | 6624873938 |
| Mailing Fax Number | 6624873051 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-11-18 |
| Authorized Official Name | MARK R FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, 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 |
|---|---|
| RCG SARDIS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972971679 | Renal Care Group Tupelo LLC | Clinic/Center | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2015-09-11 |
| Street Address |
200 E FRONTAGE RD |
| City | SARDIS |
| State | MS |
| Zip Code | 38666-1339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386677474 | Lucy Njoroge | Nurse Practitioner | 200 E Frontage Rd, Sardis, MS 38666-1339 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043703820 | First Pharmacy Services of Sardis | Pharmacy | 400 East Lee Street, Sardis, MS 38666 | 2018-06-07 |
| 1528310539 | Lorri Cook | Registered Nurse | 4036 Spring Port Rd., Sardis, MS 38666 | 2012-10-15 |
| 1629329289 | Carmie Salina Blankenship | Nurse Practitioner | 124 S. Main St, Sardis, MS 38666 | 2012-09-24 |
| 1467511196 | Pharmacy Investment Group, Inc | Pharmacy | 330 East Lee St., Sardis, MS 38666 | 2006-12-08 |
| 1194745638 | Linda L Troy | Nurse Practitioner | 111 S. Main Street, Sardis, MS 38666 | 2006-07-20 |
| 1497783864 | Sallye S. Scott | Optometrist | 119 S Main Street, Sardis, MS 38666 | 2006-06-28 |
| 1316152093 | Peterrio Harris | Durable Medical Equipment & Medical Supplies | 322 Hernando St, Sardis, MS 38666-1010 | 2007-05-14 |
| 1366479610 | Healthcare Engineers | Nurse Practitioner | 111 W Lee St, Sardis, MS 38666-1124 | 2006-06-26 |
| 1992271803 | People's Pharmacy, LLC | Pharmacy | 411 E Lee St Ste C, Sardis, MS 38666-1227 | 2018-10-17 |
| 1235102674 | Cary Nolan Mettetal | Family Medicine | 401 E Lee St, Sardis, MS 38666-1227 | 2006-02-08 |
| Find all providers in zip 38666 | ||||
| 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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|---|---|---|---|---|
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| 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 | ||||
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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.