Organization
NRA MUNCIE INDIANA LLC
Active
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
Update your record
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