Active NPI
Usrc Edinburg LP
Doing business as US Renal Care Mission Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Edinburg, TX
National Provider Identifier
1336126804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 008539
- Legal business name
- USRC EDINBURG LP
- Doing business as
- US Renal Care Mission Dialysis
- Practice address
- 206 Conquest
Edinburg, TX 78539-4707 - Phone
- (956) 383-8488
- Fax
- (956) 383-8489
- NPI assigned
- Dec 27, 2005
- Last updated
- Jan 23, 2013
- Organization subpart
- Yes
- Parent organization
- US RENAL CARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tom Weinberg
- Title
- Senior Vice-President/General Couns
- Phone
- (214) 736-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 008539 | TX | Primary |
Addresses
Primary practice location
206 Conquest
Edinburg, TX 78539-4707
Mailing address
PO Box 19119
Jonesboro, AR 72403-6601
Phone (870) 931-5400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177157801 | Medicaid | TX | |
| 020319 | Other | TX | KIDNEY HEALTH CARE |
| HH6488 | Other | TX | BLUE CROSS BLUE SHIELD |
| 177157802 | Medicaid | TX |
Other names 1
- US Renal Care Mission Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050331000206 | TX | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 2264489483 | Practice locations: Edinburg, TX |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Usrc Edinburg
- Overall star rating
- Ownership
- Profit
- Certified
- Aug 20, 2004
- Medicare certification status
- Active
- Chain
- US Renal Care, Inc.
- Dialysis stations
- 24
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1025965 | Usrc Edinburg, LP D/B/a, U S Renal Care | Certificate of waiver | May 23, 2028 |
National Provider Directory
National Provider Directory- Part of
- US Renal Care Inc
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358899200000",
"number": "1336126804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19119",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724036601",
"telephone_number": "870-931-5400",
"fax_number": "870-931-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 CONQUEST",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785394707",
"telephone_number": "956-383-8488",
"fax_number": "956-383-8489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USRC EDINBURG LP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "US RENAL CARE INC",
"enumeration_date": "2005-12-27",
"last_updated": "2013-01-23",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "TOM",
"authorized_official_title_or_position": "SENIOR VICE-PRESIDENT/GENERAL COUNS",
"authorized_official_telephone_number": "214-736-2700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "TX",
"license": "008539",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177157801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KIDNEY HEALTH CARE",
"identifier": "020319",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "HH6488",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177157802",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "US Renal Care Mission Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Edinburg, TX
- Upper Valley Pediatrics, PLLC (University Pediatrics)
- Upstart Investments LTD (New Horizons Case Management)
- Bryanna Urbano
- Urgent Care Center by DMD LLC
- Andie Karina Urive
- Ut Physicians (Ut Physicians-TH Steps the Valley Clinic)
- Uvalde County Hospital Authority (Hidalgo Nursing and Rehabilitation Center)
- Kathleen Therese Uvodic, MS SLP
- Eistle Marie Reguyal Uy, FNP-C
- Rafael Angel Uzcategui, PHYSICIAN ASSISTANT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.