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Organization

DCA OF NORWOOD LLC

Active
Parent organization
U S RENAL CARE INC
Other names
U S Renal Care Norwood 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
1721 TENNESSEE AVE, CINCINNATI, OH 45229-1201
(513) 242-6733
(513) 242-6755
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
01
000000478927
ANTHEM BCBS
OH
05
2643741
OH
Enumeration date
04/07/2006
Last updated
06/21/2018
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