Organization
DCA OF CHESAPEAKE LLC
Active
Parent organization
U S RENAL CARE INC
Other names
U S Renal Care Chesapeake Dialysis
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
305 COLLEGE PKWY, ARNOLD, MD 21012-2912
(410) 431-5106
(410) 431-5051
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
—
038512500
—
DC
01
—
22SX
CAREFIRST BCBS
MD
05
—
411643700
—
MD
01
—
5001680
UNITED HEALTHCARE
MD
Enumeration date
04/07/2006
Last updated
06/21/2018
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