Organization
RENAL CARE OF CLARION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA D. FLOOD (COO)
(305) 534-5102
Entity
Organization
Contact information
Practice address
800 CENTER ST, 825 EAST MAIN STREET, CLARION, PA 16214-1161
(814) 223-4655
(814) 223-4658
Mailing address
PO BOX 536154, PITTSBURGH, PA 15253-5903
(814) 223-4655
(814) 223-4658
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012263910001
—
PA
Enumeration date
09/01/2005
Last updated
12/22/2015
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