USRC BEDFORD LLC NPI 1104379726

NPI Information

  • NPI: 1104379726
  • Provider Name: USRC BEDFORD, LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: U.S. RENAL CARE BEDFORD DIALYSIS
  • CLIA Number: 39D0915161
  • Address: 141 MEMORIAL DR
    EVERETT, PA
    ZIP 15537
  • Phone: (814) 623-2977

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NPI Details

USRC BEDFORD, LLC is an end-stage renal disease (esrd) treatment clinic center in Everett, PA. USRC BEDFORD, LLC NPI is 1104379726. The provider is registered as an organization entity type.
The provider Is Doing Business As U.s. Renal Care Bedford Dialysis.

The provider's business location address is:

141 MEMORIAL DR
EVERETT, PA
ZIP 15537-030
Phone: (814) 623-2977
Fax: (814) 623-2944

The provider's authorized official is Thomas L. Weinberg .
The authorized official title is Authorized Official and has the following contact phone number (214) 736-2700.

The CLIA number assigned to this NPI record is 39D0915161 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2016 and was last updated on 8/1/2016.

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: 3/30/2025

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