RCG MISSISSIPPI, INC. (NPI# 1669584413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669584413 |
| Entity Type | Organization |
| Organization Name | RCG MISSISSIPPI, INC. |
| Other Organization Name | RCG CLEVELAND |
| Practice Address |
222 N Pearman Ave Cleveland MS 38732-2634 |
| Practice Telephone | 6628436965 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7814029000 |
| Is Organization Subpart | N |
| 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 |
|---|---|
| RCG CLEVELAND | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1861894768 | Rcg Mississippi, Inc. | Clinic/Center | 3499 Bluecutt Rd, Columbus, MS 39705-1346 | 2014-09-23 |
| 1437586153 | Rcg Mississippi, Inc. | Clinic/Center | 139 N Brookmoore Dr, Columbus, MS 39705-2024 | 2013-09-27 |
| 1700056538 | Rcg Mississippi, Inc. | Clinic/Center | 16451 Us Hwy 49, Belzoni, MS 39038-3603 | 2008-03-07 |
| 1316027329 | Rcg Mississippi, Inc. | Clinic/Center | 105 Office Drive, Philadelphia, MS 39350 | 2006-10-16 |
| 1790875292 | Rcg Mississippi, Inc. | Clinic/Center | 108 D Anna Pl, Helena, AR 72342-8949 | 2006-10-13 |
| 1023120870 | Rcg Mississippi, Inc. | Clinic/Center | 1404 White St, Mccomb, MS 39648-2840 | 2006-08-31 |
| 1528170370 | Rcg Mississippi, Inc. | Clinic/Center | 2004 Carter St, Vidalia, LA 71373-3003 | 2006-08-31 |
| 1760594519 | Rcg Mississippi, Inc. | Clinic/Center | 105 Keystone Cir, Vicksburg, MS 39183-3201 | 2006-08-31 |
| Street Address |
222 N PEARMAN AVE |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-2634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| 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 |
|---|---|---|---|---|
| 1902461213 | Kollobe Dialysis LLC | Clinic/Center | 4670 Richmond Rd Ste 250, Cleveland, OH 44128-6411 | 2019-05-02 |
| 1477951648 | Community Dialysis Center | Clinic/Center | 1370 Addison Road, Cleveland, OH 44103 | 2014-12-19 |
| 1407256092 | Garrett Dialysis LLC | Clinic/Center | 4805 Pearl Rd, Cleveland, OH 44109-5145 | 2014-09-02 |
| 1760704100 | Ez Dialysis, LLC | Clinic/Center | 22 Alpha Park, Cleveland, OH 44143-2208 | 2010-02-26 |
| 1407186018 | Total Renal Care Inc | Clinic/Center | 2302 Community College Ave, Cleveland, OH 44115-3117 | 2010-01-04 |
| 1306098082 | Kidney Center of Cleveland, LLC | Clinic/Center | 2253 Chambliss Avenue, Cleveland, TN 37311 | 2008-10-14 |
| 1568559128 | Community Dialysis Center | Clinic/Center | 3330 W 25th St, Cleveland, OH 44109-1614 | 2006-10-06 |
| 1215024849 | Community Dialysis Center | Clinic/Center | 11717 Euclid Ave, Cleveland, OH 44106-4350 | 2006-10-06 |
| 1386759132 | Ohio Renal Care Group, LLC | Clinic/Center | 3280 W 25th St, Cleveland, OH 44109-1670 | 2006-08-20 |
| 1922113778 | Ohio Renal Care Group, LLC | Clinic/Center | 11203 Stokes Blvd, Cleveland, OH 44104-2525 | 2006-08-20 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on RCG MISSISSIPPI, INC..
| 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.