RENAL CARE OF CARTHAGE – NPI #1912952110
Clinic/Center

RENAL CARE OF CARTHAGE is an AHC clinic located in CARTHAGE, MS. NPPES has assigned the NPI number 1912952110 to RENAL CARE OF CARTHAGE on May 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RENAL CARE OF CARTHAGE” is a dba name, the actual legal business name for this organization is ISD RENAL INC. 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 Mar 08, 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 RENAL CARE OF CARTHAGE below.

NPI Profile for
ISD RENAL INC

NPI Number
1912952110
Enumeration Date

(more than 20 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
ISD RENAL INC
Doing Business As (dba): RENAL CARE OF CARTHAGE
Primary location
312 ELLIS ST
CARTHAGE, MS 39051
Phone: (601) 267-6856 Fax: (601) 267-6859
Mailing address
5200 VIRGINIA WAY
ATT: L&C DEPT
BRENTWOOD, TN 37027-7569
Phone: (615) 320-4268 Fax: (877) 238-0567
Organization Subpart
No
Authorized Official
SAMUEL WEY
VP LICENSURE & CERTIFICATION
Phone: (615) 341-6641
Updated
Certification Date
Mar 06, 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 RENAL CARE OF CARTHAGE

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
medicaidMS00220635
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.