RCG CENTRAL ILLINOIS-BLOOMINGTON CAPD – NPI #1972618726
Clinic/Center

RCG CENTRAL ILLINOIS-BLOOMINGTON CAPD is an AHC clinic located in BLOOMINGTON, IL. NPPES has assigned the NPI number 1972618726 to RCG CENTRAL ILLINOIS-BLOOMINGTON CAPD on August 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RCG CENTRAL ILLINOIS-BLOOMINGTON CAPD” is a dba name, the actual legal business name for this organization is DIALYSIS CENTERS OF AMERICA - ILLINOIS, 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 15 years ago on Oct 04, 2011. 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 RCG CENTRAL ILLINOIS-BLOOMINGTON CAPD below.

NPI Profile for
DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC.

NPI Number
1972618726
Enumeration Date

(about 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
DIALYSIS CENTERS OF AMERICA - ILLINOIS, INC.
Doing Business As (dba): RCG CENTRAL ILLINOIS-BLOOMINGTON CAPD
Primary location
1404 EASTLAND DR
UNIT 103
BLOOMINGTON, IL 61701-3532
Phone: (309) 664-2284 Fax: (309) 661-0797
Mailing address
Same as primary location
Organization Subpart
Yes - RCG CENTRAL ILLINOIS-BLOOMINGTON CAPD 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)

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.