Renal Care Group Of The Ozarks, LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Branson, MO. Organization (NPI-2).
NPI number1033221908
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1033221908
- Entity type
- Organization (NPI-2)
- Legal business name
- Renal Care Group Of The Ozarks, LLC
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Renal Care Group Branson (Doing Business As)
Practice location
1394b State Highway 248Branson, MO 65616-8200
Phone 417-334-7480
Mailing address
1394b State Highway 248Branson, MO 65616-8200
Authorized official
Mark Fawcett
Treasurer
7814029000
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