Usrc Ewa Beach, LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Ewa Beach, HI. Organization (NPI-2).
NPI number1164059168
StatusActive
Last updated in NPPESMar 27, 2020
Details
- NPI
- 1164059168
- Entity type
- Organization (NPI-2)
- Legal business name
- Usrc Ewa Beach, LLC
- Organization subpart
- Yes
- Enumeration date
- Mar 27, 2020
- Certification date
- Mar 27, 2020
- Last updated
- Mar 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- U.S. Renal Care Ewa Beach Dialysis (Doing Business As)
Practice location
91-919 Fort Weaver Rd Ste 110Ewa Beach, HI 96706-2257
Phone 808-664-8370 · Fax 808-664-8374
Mailing address
P O Box 639924Cincinnati, OH 45263-9924
Phone 808-664-8370 · Fax 808-664-8374
Authorized official
Thomas L. Weinberg
Chairman
2147362700
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