US RENAL CARE BOERNE LLC


Address: 1595 S Main St, Suite 107, Boerne, TX 78006-3329
Phone: 8308163030

US RENAL CARE BOERNE LLC (NPI# 1821013657) 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) 1821013657
Entity Type Organization
Organization Name US RENAL CARE BOERNE LLC
Other Organization Name US RENAL CARE BOERNE DIALYSIS
Practice Address 1595 S Main St
Suite 107
Boerne
TX 78006-3329
Mailing Address Po Box 19119
Suite 350
Jonesboro
AR 72403-6601
Practice Telephone 8308163030
Practice Fax Number 8308163038
Mailing Telephone 8709315400
Mailing Fax Number 8709315418
Enumeration Date 2006-07-13
Last Update Date 2013-01-23
Authorized Official Name THOMAS L. WEINBERG (SENIOR VICE PRESIDENT)
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
008371 TX Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX KIDNEY HEALTH CARE 021309 01
TX 186101501 05
TX 186101502 05
TX BCBS HH076Y 01

Other Provider/Organization Names

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

Office Location

Street Address 1595 S MAIN ST
SUITE 107
City BOERNE
State TX
Zip Code 78006-3329

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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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NPI Name Taxonomy Address Enumeration
1699969907 Sakdc Davita Dialysis Partners Lp Clinic/Center 1369 S Main St, Ste 101, Boerne, TX 78006-2860 2007-08-29

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Competitor

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City BOERNE
Zip Code 78006

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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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