Organization
RAI CARE CENTERS OF SOUTHERN CALIFORNIA I, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
RAI-North Waterman-San Bernadino
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
MR. MARK R FAWCETT (TREASURER)
(781) 699-9000
Entity
Organization
Contact information
Practice address
1500 N WATERMAN AVE, SAN BERNARDINO, CA 92404-5111
(909) 381-1591
(909) 384-1744
Mailing address
1500 N WATERMAN AVE, SAN BERNARDINO, CA 92404-5111
(909) 381-1591
(909) 384-1744
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
—
052575
BLUE CROSS OF CALIFORNIA
CA
05
—
CDC70020J
—
CA
01
—
ZZZR0213Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
11/17/2006
Last updated
07/27/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us