Organization
NRA MANCHESTER TENNESSEE LLC
Active
Parent organization
U.S. RENAL CARE, INC.
Other names
U.S. Renal Care Manchester Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
U.S. RENAL CARE, INC.
Authorized official
THOMAS L. WEINBERG (AUTHORIZED OFFICIAL)
(214) 736-2700
Entity
Organization
Contact information
Practice address
367 INTERSTATE DR, MANCHESTER, TN 37355-3108
(931) 728-7733
(931) 728-5595
Mailing address
424 CHURCH ST, SUITE 1900, NASHVILLE, TN 37219-2301
(615) 263-4518
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0000000156
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44D1051727
CLIA CERTIFICATE OF WAIVE
TN
Enumeration date
06/01/2006
Last updated
06/13/2023
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