Organization
DCA OF WEST BALTIMORE LLC
Active
Parent organization
U S RENAL CARE INC
Other names
U S Renal Care West Baltimore 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
22 S ATHOL AVE, BALTIMORE, MD 21229-3405
(410) 947-3227
(410) 947-3711
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
—
408836100
—
MD
Enumeration date
04/07/2006
Last updated
10/28/2013
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