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Organization

DCA OF WARSAW LLC

Active
Parent organization
U S RENAL CARE INC
Other names
U S Renal Care Warsaw
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
4709 RICHMOND ROAD, WARSAW VILLAGE SHOPPING CENTER, WARSAW, VA 22572
(804) 333-4444
(804) 333-0400
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
010054486
VA
01
136730
ANTHEM
VA
Enumeration date
04/11/2006
Last updated
10/25/2013
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