USRC LAREDO SOUTH LP


Address: 4602 Bencha Dr, Laredo, TX 78043-9701
Phone: 9566688484

USRC LAREDO SOUTH LP (NPI# 1578613220) 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) 1578613220
Entity Type Organization
Organization Name USRC LAREDO SOUTH LP
Other Organization Name US RENAL CARE LAREDO SOUTH DIALYSIS
Practice Address 4602 Bencha Dr
Laredo
TX 78043-9701
Mailing Address Po Box 19119
Jonesboro
AR 72403-6601
Practice Telephone 9566688484
Practice Fax Number 9566688485
Mailing Telephone 8709315400
Mailing Fax Number 8709315418
Enumeration Date 2007-01-12
Last Update Date 2013-10-28
Authorized Official Name MR. THOMAS L WEINBERG (VP LEGAL COUNSEL)
Authorized Official Telephone 2147362700
Is Organization Subpart Y
Parent Organization Name US RENAL CARE INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
008497 TX Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 189702701 05
TX BCBS HH084Y 01
TX KIDNEY HEALTH CARE 021620 01
TX 189702702 05

Other Provider/Organization Names

Other Name Type Code
US Renal Care Laredo South Dialysis Doing Business As Name - Organization

Office Location

Street Address 4602 BENCHA DR
City LAREDO
State TX
Zip Code 78043-9701

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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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1700211083 Renal Treatment Centers-southeast, Lp Clinic/Center 902 Houston St, Laredo, TX 78040-8015 2013-09-05
1881960391 Dialysis Newco Inc Clinic/Center 5501 Springfield Ave, Laredo, TX 78041-3348 2012-03-29
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Competitor

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City LAREDO
Zip Code 78043

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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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