RENAL CARE GROUP OF THE SOUTHEAST INC (NPI# 1619089455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619089455 |
| Entity Type | Organization |
| Organization Name | RENAL CARE GROUP OF THE SOUTHEAST INC |
| Other Organization Name | FRESENIUS MEDICAL CARE NORTH PENSACOLA |
| Practice Address |
1040 E Nine Mile Rd Pensacola FL 32514-1649 |
| Practice Telephone | 8502028202 |
| Practice Fax Number | 8502028206 |
| Mailing Telephone | 8502028202 |
| Mailing Fax Number | 8502028206 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-03-06 |
| Authorized Official Name | MARK R FAWCETT (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 North Pensacola | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003928847 | Renal Care Group of The Southeast Inc | Clinic/Center | 1208 W Bypass, Andalusia, AL 36420-5204 | 2006-08-31 |
| 1801908645 | Renal Care Group of The Southeast Inc | Clinic/Center | 223 E Redstone Ave, Crestview, FL 32539-5373 | 2006-08-31 |
| 1356453195 | Renal Care Group of The Southeast Inc | Clinic/Center | 5401 Corporate Woods Dr, Suite 850, Pensacola, FL 32504-8984 | 2006-08-31 |
| 1265544001 | Renal Care Group of The Southeast Inc | Clinic/Center | 5151 N 9th Ave, Depaul Bldg. 3rd Fl., Pensacola, FL 32504-8721 | 2006-08-31 |
| 1316059009 | Renal Care Group of The Southeast Inc | Clinic/Center | 5934 Berryhill Medical Park Dr, Suite 2, Milton, FL 32570 | 2006-08-31 |
| Street Address |
1040 E NINE MILE RD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514-1649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| 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 |
|---|---|---|---|---|
| 1326566084 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5476 Mobile Hwy, Pensacola, FL 32526-2104 | 2017-09-01 |
| 1215287115 | Reef Dialysis LLC | Clinic/Center | 812 Creighton Rd, Pensacola, FL 32504-7028 | 2012-09-18 |
| 1639445463 | Total Renal Care Inc | Clinic/Center | 700 E Cervantes St, Ste A, Pensacola, FL 32501-3489 | 2012-03-27 |
| 1851415228 | West Pensacola Dialysis LLC | Clinic/Center | 598 N Fairfield Dr, Pensacola, FL 32506-4320 | 2007-03-19 |
| 1992817738 | Renal Care Group of The Southeast, Inc. | Clinic/Center | 1305 W Moreno St, Pensacola, FL 32501-2321 | 2006-08-31 |
| 1619089463 | Rcg Pensacola, LLC | Clinic/Center | 2940 N Blue Angel Pkwy, Pensacola, FL 32506-2925 | 2006-08-31 |
| 1326366329 | Total Renal Care Inc | Clinic/Center | 598 N Fairfield Dr, Ste 100, Pensacola, FL 32506-4320 | 2010-05-14 |
| 1356453195 | Renal Care Group of The Southeast Inc | Clinic/Center | 5401 Corporate Woods Dr, Suite 850, Pensacola, FL 32504-8984 | 2006-08-31 |
| 1265544001 | Renal Care Group of The Southeast Inc | Clinic/Center | 5151 N 9th Ave, Depaul Bldg. 3rd Fl., Pensacola, FL 32504-8721 | 2006-08-31 |
| 1336117670 | Renal Treatment Centers Southeast Lp | Clinic/Center | 8333 N Davis Hwy, 1st Floor Attn Dialysis Room, Pensacola, FL 32514 | 2006-03-11 |
| Find all providers in PENSACOLA | ||||
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| 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.