Reliant Renal Care-Colorado, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

0280 Issued in CO

Legal business name

RELIANT RENAL CARE-COLORADO, LLC

Doing business as

RRC Trinidad

Practice address

400 Benedicta Ave
C
Trinidad, CO 81082-2099

Phone

(719) 845-0003

Fax

(719) 845-0011

NPI assigned

Dec 12, 2006

Last updated

Jun 28, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

RELIANT RENAL CARE, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Barbara A Bednar

Title

Ceo

Phone

(610) 892-4700

Specialties & licenses 1

Addresses

Other names 1

• RRC Trinidad Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1285795443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671661",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752671661",
            "telephone_number": "610-892-4700",
            "fax_number": "610-892-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BENEDICTA AVE",
            "address_2": "C",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822099",
            "telephone_number": "719-845-0003",
            "fax_number": "719-845-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT RENAL CARE-COLORADO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELIANT RENAL CARE, INC.",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "BEDNAR",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-892-4700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CO",
            "license": "0280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RRC Trinidad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Trinidad, CO
• Providers in Trinidad, CO by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.