RENAL CARE GROUP ARIZONA, LLC (NPI# 1588776397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588776397 |
| Entity Type | Organization |
| Organization Name | RENAL CARE GROUP ARIZONA, LLC |
| Other Organization Name | RENAL CARE GROUP LAKE HAVASU |
| Practice Address |
2145 Mesquite Ave Lake Havasu City AZ 86403-0947 |
| Practice Telephone | 9283025145 |
| Practice Fax Number | 9283025160 |
| Mailing Telephone | 9283025145 |
| Mailing Fax Number | 9283025160 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-01-28 |
| Authorized Official Name | MR. 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 |
|---|---|
| RENAL CARE GROUP LAKE HAVASU | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770663783 | Renal Care Group Arizona, LLC | Clinic/Center | 102 West Hospital Drive, Whiteriver, AZ 85941-1899 | 2006-10-16 |
| 1104928373 | Renal Care Group Arizona, LLC | Clinic/Center | 14786 S State Hwy 77, Mammoth, AZ 85618 | 2006-09-01 |
| 1750483921 | Renal Care Group Arizona, LLC | Clinic/Center | Seed Farm & Skill Center Road, Box 207, Sacaton, AZ 85247-0207 | 2006-09-01 |
| 1124130927 | Renal Care Group Arizona, LLC | Clinic/Center | 135 S Power Rd, Suite 103, Mesa, AZ 85206-5245 | 2006-08-31 |
| 1205948015 | Renal Care Group Arizona, LLC | Clinic/Center | 10050 W Bell Rd, Suite 29, Sun City, AZ 85351-1287 | 2006-08-31 |
| 1578675385 | Renal Care Group Arizona, LLC | Clinic/Center | 1250 S 20th Ave, Safford, AZ 85546-3378 | 2006-08-31 |
| 1104938919 | Renal Care Group Arizona, LLC | Clinic/Center | 1495 N Hayden Rd, Suite D1-d4, Scottsdale, AZ 85257-3762 | 2006-08-31 |
| 1487766291 | Renal Care Group Arizona, LLC | Clinic/Center | 1875 E Sabin Dr., Casa Grande, AZ 85122-5590 | 2006-08-31 |
| 1942312756 | Renal Care Group Arizona, LLC | Clinic/Center | 1449 W Southern Ave, Tempe, AZ 85282-4446 | 2006-08-31 |
| 1033221833 | Renal Care Group Arizona, LLC | Clinic/Center | 912 W Chandler Blvd, Building A, Chandler, AZ 85225-4910 | 2006-08-31 |
| Street Address |
2145 MESQUITE AVE |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-0947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| 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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| 1043826191 | Fresenius Medical Care Yuma, LLC | Clinic/Center | 1200 S Castle Dome Ave Ste C, Yuma, AZ 85365-5305 | 2020-09-23 |
| 1215577598 | Southwest Kidney - Davita Dialysis Partners LLC | Clinic/Center | 14671 W Mountain View Blvd Ste 102, Surprise, AZ 85374-4840 | 2020-01-14 |
| 1225678774 | Endicott Dialysis LLC | Clinic/Center | 2500 S 8th Ave Ste 102, Yuma, AZ 85364-7132 | 2020-01-13 |
| 1811450281 | Bio Medical Applications of Arizona LLC | Clinic/Center | 450 S Gilbert Rd, Chandler, AZ 85225-2479 | 2019-04-11 |
| 1437612165 | Southwest Kidney - Davita Dialysis Partners LLC | Clinic/Center | 14620 W Encanto Blvd Ste 110, Goodyear, AZ 85395-1616 | 2019-04-10 |
| 1649730953 | Scottsdale Kidney Center LLC | Clinic/Center | 6970 E Chauncey Ln Ste 130, Phoenix, AZ 85054-5159 | 2019-03-22 |
| 1437613916 | Premier Home Dialysis Services | Clinic/Center | 20118 N 67th Ave Ste 300-527, Glendale, AZ 85308-4621 | 2019-01-29 |
| 1801369186 | Bio Medical Applications of Arizona LLC | Clinic/Center | 7862 E Florentine Rd Ste 100, Prescott Valley, AZ 86314-2216 | 2019-01-09 |
| 1932688256 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 926 E Mcdowell Rd Ste 100, Phoenix, AZ 85006-2503 | 2018-08-08 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
Please comment or provide details below to improve the information on RENAL CARE GROUP ARIZONA, 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.