USRC SAN BENITO DIALYSIS LTD (NPI# 1669459079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669459079 |
| Entity Type | Organization |
| Organization Name | USRC SAN BENITO DIALYSIS LTD |
| Other Organization Name | US RENAL CARE SAN BENITO DIALYSIS |
| Practice Address |
910 N Mccullough St San Benito TX 78586-0084 |
| Mailing Address |
Po Box 251549 Plano TX 75025-1500 |
| Practice Telephone | 9563994037 |
| Practice Fax Number | 9563998119 |
| Mailing Telephone | 8709315400 |
| Mailing Fax Number | 8709315418 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2017-01-17 |
| Authorized Official Name | MR. THOMAS L. WEINBERG (SENIOR VICE-PRESIDENT/GENERAL COUNS) |
| Authorized Official Telephone | 2147362700 |
| Is Organization Subpart | Y |
| Parent Organization Name | US RENAL CARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
008215 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 176515802 | 05 | |
| TX | KIDNEY HEALTH CARE | 018885 | 01 |
| TX | 176515801 | 05 | |
| TX | BCBS | HH043Y | 01 |
| Other Name | Type Code |
|---|---|
| US Renal Care San Benito Dialysis | Doing Business As Name - Organization |
| Street Address |
910 N MCCULLOUGH ST |
| City | SAN BENITO |
| State | TX |
| Zip Code | 78586-0084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903542 | Ana Cecilia Santana | Counselor | 401 E. Business Hwy 77, San Benito, TX 78586 | 2019-10-11 |
| 1629636519 | Jodie Bulnes | Social Worker | 2310 W. Business Hwy 77, San Benito, TX 78586 | 2019-06-05 |
| 1730651225 | Alma De La Garza | Licensed Vocational Nurse | 24369 Resaca Llena Drive, San Benito, TX 78586 | 2018-12-20 |
| 1144719428 | Fernando Vasquez Jr. | Physician Assistant | 400 Us-77 Bus, San Benito, TX 78586 | 2018-05-02 |
| 1447660048 | Rodeo Dental & Orthodontics | Dentist | 1141 Us Business 77, Ste G, San Benito, TX 78586 | 2014-05-05 |
| 1528309044 | Sergio De La Garza | Pharmacist | 1095 W. Business 77, San Benito, TX 78586 | 2013-03-07 |
| 1255692489 | Priscilla Sustaita | Speech-Language Pathologist | 935 S. Travis Rd., San Benito, TX 78586 | 2012-06-05 |
| 1740572148 | Infinity Rehab Services, LLC | Occupational Therapist | 115 N Williams Road, Ste. A, San Benito, TX 78586 | 2011-05-04 |
| 1346556305 | Deborah Gallaga | Pharmacist | 1095 W Highway 77, San Benito, TX 78586 | 2010-08-27 |
| 1811201478 | Pete Martinez | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26619 Line G Road, San Benito, TX 78586 | 2010-08-05 |
| Find all providers in zip 78586 | ||||
| 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 |
|---|---|---|---|---|
| 1942801931 | Usrc Mckinney, LLC | Clinic/Center | 1434 N Central Expy Ste 116, Mckinney, TX 75070-3108 | 2020-11-05 |
| 1437756772 | Usrc Bluebonnet, LLC | Clinic/Center | 1902 Windsor Pl, Ste 100, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1609473941 | Usrc Bluebonnet Home, LLC | Clinic/Center | 1902 Windsor Pl Ste 202, Fort Worth, TX 76110-1866 | 2020-10-08 |
| 1982210050 | Usrc Stephenville LLC | Clinic/Center | 942 Bluebonnet Dr, Stephenville, TX 76401-1764 | 2020-09-23 |
| 1801402979 | Usrc Garland LLC | Clinic/Center | 219 W Kingsley Rd Ste 316, Garland, TX 75041-3434 | 2020-09-23 |
| 1003422171 | Usrc Dialysis At Home West LLC | Clinic/Center | 12011 State Highway 151 Ste 222, San Antonio, TX 78251-1230 | 2020-09-23 |
| 1477165462 | Fresenius Medical Care South Lewisville, LLC | Clinic/Center | 101 E Southwest Pkwy Ste 110, Lewisville, TX 75067-8753 | 2020-08-20 |
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1891312559 | Usrc Houston Newco Home LLC | Clinic/Center | 2000 Crawford St Ste 777, Houston, TX 77002-9006 | 2020-06-29 |
| 1427671502 | Usrc Plano Dexter, LLC | Clinic/Center | 4708 Dexter Dr, Plano, TX 75093-5288 | 2020-05-22 |
| Find all providers with the same taxonomy | ||||
| City | SAN BENITO |
| Zip Code | 78586 |
Please comment or provide details below to improve the information on USRC SAN BENITO DIALYSIS LTD.
| 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.