RENAL CARE GROUP TUPELO, LLC (NPI# 1144685900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144685900 |
| Entity Type | Organization |
| Organization Name | RENAL CARE GROUP TUPELO, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE WEST POINT |
| Practice Address |
1612 West Church Hill Road West Point MS 39773 |
| Practice Telephone | 6624945806 |
| Practice Fax Number | 6624945804 |
| Mailing Telephone | 6624945806 |
| Mailing Fax Number | 6624945804 |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |
| Authorized Official Name | MARK R FAWCETT (SENIOR VP AND TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fresenius Medical Care West Point | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205334513 | Renal Care Group Tupelo, LLC | Clinic/Center | 1031 S Madison St, Tupelo, MS 38801-6309 | 2018-02-01 |
| 1386046472 | Renal Care Group Tupelo, LLC | Clinic/Center | 925 Denmill Rd., New Albany, MS 38652 | 2014-09-19 |
| 1740382126 | Renal Care Group Tupelo, LLC | Clinic/Center | 2978 Mattox St., Tupelo, MS 38801-6309 | 2006-09-05 |
| 1114039963 | Renal Care Group Tupelo, LLC | Clinic/Center | 810 Alcorn Dr, Corinth, MS 38834-9380 | 2006-08-31 |
| 1679685424 | Renal Care Group Tupelo, LLC | Clinic/Center | 1760 Barron St, Oxford, MS 38655-5705 | 2006-08-31 |
| 1578675328 | Renal Care Group Tupelo, LLC | Clinic/Center | 308 Highway 8 W, Aberdeen, MS 39730-2106 | 2006-08-31 |
| 1801908637 | Renal Care Group Tupelo, LLC | Clinic/Center | 1325 Highway 4 E, Holly Springs, MS 38635-2112 | 2006-08-31 |
| 1013029867 | Renal Care Group Tupelo, LLC | Clinic/Center | 207 Meadowlane St, Eupora, MS 39744-2218 | 2006-08-31 |
| 1851657126 | Renal Care Group Tupelo, LLC | Clinic/Center | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2012-04-11 |
| 1437261260 | Renal Care Group Tupelo, LLC | Clinic/Center | 1542 Medical Park Cir, Tupelo, MS 38801-6560 | 2006-08-31 |
| Street Address |
1612 WEST CHURCH HILL ROAD |
| City | WEST POINT |
| State | MS |
| Zip Code | 39773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114532587 | David Vincent Hughes Jr. | Specialist/Technologist | 1 Priority Plaza, West Point, MS 39773 | 2020-09-13 |
| 1548809833 | Karen Annabelle Cuesta | Physical Therapist | 1122 N. Eshman Avenue, West Point, MS 39773 | 2020-01-03 |
| 1235780784 | Kimberly Kay Patterson | Pharmacist | 5509 Us-45 Alt S, West Point, MS 39773 | 2019-09-26 |
| 1821584673 | Amber L Brasfield | Nurse Practitioner | 5713 Hwy 45 Alt S, West Point, MS 39773 | 2018-07-05 |
| 1285185322 | Jordana Baker | Pharmacist | 5509 Highway 45 Alternate, West Point, MS 39773 | 2016-10-24 |
| 1326437864 | Amber Orman | Behavioral Analyst | 222 Mary Holmes Drive, West Point, MS 39773 | 2015-01-22 |
| 1972945780 | Point City Drugs LLC | Pharmacy | 7683 Highway 45 Alt N, West Point, MS 39773 | 2013-07-22 |
| 1932409083 | Barbrette A. Baldwin | Obstetrics & Gynecology | 373 Medical Center Cir, West Point, MS 39773 | 2010-10-22 |
| 1801112115 | Dawn M Holmes | Counselor | 223 Court St, West Point, MS 39773 | 2010-04-12 |
| 1578689048 | Region Vii Mh Mr Commission | Clinic/Center | 217 Court Street, West Point, MS 39773 | 2007-03-22 |
| Find all providers in zip 39773 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962808725 | Total Renal Care Inc | Clinic/Center | 100 Winters St, Ste 12b, West Point, VA 23181-9534 | 2014-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1013535780 | Fresenius Medical Care Meridian Home, LLC | Clinic/Center | 2400 15th St, Meridian, MS 39301-3951 | 2020-07-09 |
| 1922631837 | Fresenius Medical Care Dogwood, LLC | Clinic/Center | 205b Belle Meade Pt, Flowood, MS 39232-3311 | 2020-02-19 |
| 1669944120 | Fresenius Medical Care Adams County Home, LLC | Clinic/Center | 151 Jefferson Davis Blvd Ste D, Natchez, MS 39120-5140 | 2018-12-21 |
| 1205334513 | Renal Care Group Tupelo, LLC | Clinic/Center | 1031 S Madison St, Tupelo, MS 38801-6309 | 2018-02-01 |
| 1801310768 | Hattiesburg Clinic, Pa | Clinic/Center | 5909 Hwy 49 S, Suite 14, Hattiesburg, MS 39402-2860 | 2017-08-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1710411707 | Rcg Mississippi, Inc. | Clinic/Center | 1100 Central Drive, Philadelphia, MS 39350 | 2017-04-17 |
| Find all providers with the same taxonomy | ||||
| City | WEST POINT |
| Zip Code | 39773 |
Please comment or provide details below to improve the information on RENAL CARE GROUP TUPELO, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.