Organization
NRA MUNCIE INDIANA LLC
Active
Other names
U.S. Renal Care North Muncie Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS L. WEINBERG (AUTHORIZED OFFICIAL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
800 S TILLOTSON AVE STE 1, MUNCIE, IN 47304-4529
(765) 747-3020
(765) 741-1588
Mailing address
PO BOX 251549, PLANO, TX 75025-1500
(214) 736-2700
(214) 736-2855
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
01
—
15D1064293
CLIA CERT OF WAIVER
IN
05
—
200880860A
—
IN
Enumeration date
12/11/2006
Last updated
04/10/2026
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