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RAI CARE CENTERS OF ILLINOIS I LLC NPI 1588758239


NPI Information

NPI: 1588758239
Provider Name: RAI CARE CENTERS OF ILLINOIS I, LLC

Doing Business As: FRESENIUS MEDICAL CARE REGENCY PARK

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 14D0982694

Address:
124 REGENCY PARK DRIVE STE 1
O FALLON, IL
ZIP 62269
Phone: (618) 622-0634
Get Directions

RAI CARE CENTERS OF ILLINOIS I, LLC is an end-stage renal disease (esrd) treatment clinic center in O Fallon, IL. RAI CARE CENTERS OF ILLINOIS I, LLC NPI is 1588758239. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Regency Park.

The provider's business location address is:

124 REGENCY PARK DRIVE STE 1
O FALLON, IL
ZIP 62269-994
Phone: (618) 622-0634
Fax: (618) 622-0668

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 14D0982694 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 10/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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