U.S. RENAL CARE DEDEDO DIALYSIS – NPI #1346436441
Clinic/Center

U.S. RENAL CARE DEDEDO DIALYSIS is an AHC clinic located in DEDEDO, GU. NPPES has assigned the NPI number 1346436441 to U.S. RENAL CARE DEDEDO DIALYSIS on September 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “U.S. RENAL CARE DEDEDO DIALYSIS” is a dba name, the actual legal business name for this organization is RENAL CENTERS OF GUAM, LLC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 3 years ago on Oct 23, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for U.S. RENAL CARE DEDEDO DIALYSIS below.

NPI Profile for
RENAL CENTERS OF GUAM, LLC

NPI Number
1346436441
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RENAL CENTERS OF GUAM, LLC
Doing Business As (dba): U.S. RENAL CARE DEDEDO DIALYSIS
Primary location
600 HARMON LOOP RD STE 104
DEDEDO, GU 96929-6536
Phone: (671) 637-3068 Fax: (671) 637-3073
Mailing address
Same as primary location
Organization Subpart
Yes - U.S. RENAL CARE DEDEDO DIALYSIS is subpart of another organization.
Authorized Official
BARRY BLANTON
VICE PRESIDENT
Phone: (781) 699-9000
Updated
Certification Date
Oct 23, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
CSV
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669