Organization
USRC QUINCY, LLC
Active
Parent organization
U.S. RENAL CARE, INC.
Other names
U.S.Renal Care Quincy Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
U.S. RENAL CARE, INC.
Authorized official
THOMAS L. WEINBERG (CHAIRMAN, AUTHORIZED OFFICIAL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
500 VICTORY RD, QUINCY, MA 02171-3139
(617) 427-7800
(617) 427-7808
Mailing address
PO BOX 251549, PLANO, TX 75025-1500
(214) 736-2700
(214) 736-2701
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
—
110115458A
—
MA
01
—
22D2032136
CLIA WAIVER
—
01
—
7436
BUSINESS LICENSE
MA
01
—
EK1N
STATE LICENSURE
MA
Enumeration date
11/10/2015
Last updated
01/17/2017
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