NPIMap

Organization Active NPI

Reliant Renal Care West Flint LLC

Doing business as RRC West Flint

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Flint, MI
National Provider Identifier
1366676579
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
RELIANT RENAL CARE WEST FLINT LLC
Doing business as
RRC West Flint
Practice address
G4007 Corunna Rd
Flint, MI 48532
Phone
(610) 892-4700
NPI assigned
May 4, 2009
Last updated
Jul 9, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
RELIANT RENAL CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Mark Fawcett
Title
Senior VP and Treasurer
Phone
(781) 699-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

G4007 Corunna Rd
Flint, MI 48532

Mailing address

G4007 Corunna Rd
Flint, MI 48532-4526
Phone (610) 892-4700

Other names 1

  • RRC West Flint Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ability Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1125 S Linden Rd
Ste 700
Flint, MI 48532
Phone (810) 262-6555

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1366676579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G4007 CORUNNA RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324526",
            "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": "G4007 CORUNNA RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48532",
            "telephone_number": "610-892-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT RENAL CARE WEST FLINT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELIANT RENAL CARE, INC",
        "enumeration_date": "2009-05-04",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SENIOR VP AND TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RRC West Flint",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RRC West Flint",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.