USRC CANTON LLC (NPI# 1750542213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750542213 |
| Entity Type | Organization |
| Organization Name | USRC CANTON LLC |
| Other Organization Name | US RENAL CARE CANTON DIALYSIS |
| Practice Address |
400 E Hwy 243 Suite 14 Canton TX 75103-2445 |
| Mailing Address |
Po Box 19119 Jonesboro AR 72403-6601 |
| Practice Telephone | 9035672250 |
| Practice Fax Number | 9035672209 |
| Mailing Telephone | 8709315400 |
| Mailing Fax Number | 8709315418 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2013-10-25 |
| Authorized Official Name | THOMAS L WEINBERG (SENIOR VICE PRESIDENT) |
| 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 |
008728 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | KHC | 025047 | 01 |
| TX | 207362902 | 05 |
| Other Name | Type Code |
|---|---|
| US Renal Care Canton Dialysis | Doing Business As Name - Organization |
| Street Address |
400 E HWY 243 SUITE 14 |
| City | CANTON |
| State | TX |
| Zip Code | 75103-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265095202 | Brandi Jo Foster | Nurse Practitioner | 4437 Etheride Circle, Canton, TX 75103 | 2019-04-16 |
| 1124595087 | Melissa Williams | Nurse Practitioner | 1108 So. Buffalo St, Canton, TX 75103 | 2018-10-30 |
| 1295218667 | Jennifer Elaine Moore | Registered Nurse | 185 Vz Cr 2103, Canton, TX 75103 | 2018-09-12 |
| 1568945921 | Kelsey Lauren Nixon | Registered Nurse | 5640 Vzcr 4106, Canton, TX 75103 | 2018-09-12 |
| 1649770496 | Chelsea Boshart | Registered Nurse | 150 Vz Cr 4130, Canton, TX 75103 | 2018-02-19 |
| 1396292918 | Deanne Wheeler | Hearing Instrument Specialist | 150 E. Dallas Street, Canton, TX 75103 | 2016-09-01 |
| 1356701221 | Betsy Jill Chappell | Nurse Practitioner | 406 Tx-243, Canton, TX 75103 | 2016-03-04 |
| 1326435199 | Forever Kids Pediatric Clinic | Clinic/Center | 182 Privatet Road 6413, Canton, TX 75103 | 2015-04-20 |
| 1417255233 | Dallas County Hospital District | Skilled Nursing Facility | 1901 S Trade Days Blvd, Canton, TX 75103 | 2011-03-02 |
| 1922243906 | Brookshire Grocery Company | Pharmacy | 880 E State Highway 243, Canton, TX 75103 | 2008-12-05 |
| Find all providers in zip 75103 | ||||
| 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 |
|---|---|---|---|---|
| 1386262350 | Delta Renal Care Pllc | Clinic/Center | 3981 Elizabeth Ave, Canton, MI 48188-7223 | 2020-07-07 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1629596267 | Isd Renal Inc | Clinic/Center | 2912 W Tuscarawas St, Canton, OH 44708-4643 | 2017-09-05 |
| 1174044093 | Fresenius Medical Care Stark County, LLC | Clinic/Center | 2835 Tuscarawas St. W, Canton, OH 44708-4600 | 2017-06-30 |
| 1518315837 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 2835 Tuscarawas St. West, Canton, OH 44708 | 2016-05-26 |
| 1619332574 | Detroit Medical Center | Clinic/Center | 43205 Creekview Dr, Canton, MI 48187-3049 | 2015-12-19 |
| 1932522950 | Innovative Home Dialysis of Georgia, LLC | Clinic/Center | 3753 Marietta Hwy, Suite 100, Canton, GA 30114-8328 | 2014-01-27 |
| 1144467747 | My Father's House Dialysis Care Facility,llc | Clinic/Center | 1200 30th St Nw, Canton, OH 44709-2923 | 2009-01-19 |
| 1861643579 | Total Renal Care Inc | Clinic/Center | 4377 Whipple Ave Nw, Canton, OH 44718-2643 | 2008-10-01 |
| 1861649535 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 6064 N Sheldon Rd, Canton, MI 48187-2861 | 2008-08-25 |
| Find all providers in CANTON | ||||
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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.