Organization
RENAL CAREPARTNERS OF FAIRFAX, LLC
Active
Parent organization
U.S. RENAL CARE, INC.
Other names
U.S. Renal Care Fairfax 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
3930 WALNUT ST, FAIRFAX, VA 22030-4738
(703) 691-7820
(703) 691-7824
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
—
1679559215
—
VA
Enumeration date
12/15/2005
Last updated
07/21/2014
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