RRC CHELTENHAM – NPI #1710221775
Clinic/Center

RRC CHELTENHAM is an AHC clinic located in MEDIA, PA. NPPES has assigned the NPI number 1710221775 to RRC CHELTENHAM on November 15, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RRC CHELTENHAM” is a dba name, the actual legal business name for this organization is RELIANT RENAL CARE - CHELTENHAM 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 8 years ago on May 22, 2018. 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 RRC CHELTENHAM below.

NPI Profile for
RELIANT RENAL CARE - CHELTENHAM LLC

NPI Number
1710221775
Enumeration Date

(more than 13 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
RELIANT RENAL CARE - CHELTENHAM LLC
Doing Business As (dba): RRC CHELTENHAM
Primary location
1400 N PROVIDENCE RD
BLDG 2 SUITE 1040
MEDIA, PA 19063
Phone: (610) 892-4700 Fax: (610) 892-9760
Mailing address
7107 OLD YORK RD
PHILADELPHIA, PA 19126-2114
Phone: Fax:
Organization Subpart
No
Authorized Official
MARK FAWCETT
SENIOR VP AND TREASURER
Phone: (781) 699-9000
Updated
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.