Organization
DCA OF MECHANICSBURG LLC
Active
Parent organization
U S RENAL CARE INC
Other names
U S Renal Care Mechanicsburg Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
U S RENAL CARE INC
Authorized official
MR. THOMAS L WEINBERG (VICE PRESIDENT & SECRETARY)
(214) 736-2700
Entity
Organization
Contact information
Practice address
120 S FILBERT ST, MECHANICSBURG, PA 17055-6539
(717) 790-6080
(717) 790-6081
Mailing address
PO BOX 19119, JONESBORO, AR 72403-6601
(870) 931-5400
(870) 931-5418
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018887600001
—
PA
01
—
01888760
UNISON
PA
01
—
1522940
GATEWAY
PA
01
—
1852
PA HIGHMARK
PA
01
—
20012167
AMERIHEALTH MERCY
PA
01
—
2687877
AETNA
PA
01
—
7278046
AETNA
PA
01
—
7287332
AETNA US HEALTHCARE
PA
01
—
907109
TUFTS HEALTH PLAN
PA
01
—
PPA01604
PA CHRONIC RENAL
PA
Enumeration date
04/07/2006
Last updated
06/21/2018
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