RENAL CARE GROUP TUPELO HOME – NPI #1851657126
Clinic/Center

RENAL CARE GROUP TUPELO HOME is an AHC clinic located in TUPELO, MS. NPPES has assigned the NPI number 1851657126 to RENAL CARE GROUP TUPELO HOME on April 11, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RENAL CARE GROUP TUPELO HOME” is a dba name, the actual legal business name for this organization is RENAL CARE GROUP TUPELO, 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

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 RENAL CARE GROUP TUPELO HOME below.

NPI Profile for
RENAL CARE GROUP TUPELO, LLC

NPI Number
1851657126
Enumeration Date

(more than 14 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 CARE GROUP TUPELO, LLC
Doing Business As (dba): RENAL CARE GROUP TUPELO HOME
Primary location
1542 MEDICAL PARK CIR
TUPELO, MS 38801-6560
Phone: (662) 841-2315 Fax: (662) 341-2317
Mailing address
Same as primary location
Organization Subpart
Yes - RENAL CARE GROUP TUPELO HOME is subpart of another organization.
Authorized Official
MARK FAWCETT
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)		 MS

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.