U.S RENAL CARE CROWNPOINT DIALYSIS – NPI #1366693186
Clinic/Center

U.S RENAL CARE CROWNPOINT DIALYSIS is an AHC clinic located in CROWNPOINT, NM. NPPES has assigned the NPI number 1366693186 to U.S RENAL CARE CROWNPOINT DIALYSIS on October 10, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “U.S RENAL CARE CROWNPOINT DIALYSIS” is a dba name, the actual legal business name for this organization is RED ROCKS DIALYSIS 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 2 years ago on Feb 29, 2024. 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 CROWNPOINT DIALYSIS below.

NPI Profile for
RED ROCKS DIALYSIS LLC

NPI Number
1366693186
Enumeration Date

(more than 17 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
RED ROCKS DIALYSIS LLC
Doing Business As (dba): U.S RENAL CARE CROWNPOINT DIALYSIS
Primary location
JUNCTION OF HWAY 371 & ROUTE 9
CROWNPOINT, NM 87313
Phone: (505) 786-5280 Fax:
Mailing address
PO BOX 251549
PLANO, TX 75025-1500
Phone: (214) 736-2700 Fax:
Organization Subpart
Yes - U.S RENAL CARE CROWNPOINT DIALYSIS is subpart of another organization.
Authorized Official
THOMAS WEINBERG
AUTHORIZED OFFICIAL
Phone: (214) 736-2700
Updated
Certification Date
Feb 29, 2024

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.

Identifiers

Identifiers for U.S RENAL CARE CROWNPOINT DIALYSIS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNM93037856
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.