Usrc Quebec Street, LLC

Primary specialty

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

Legal business name

USRC QUEBEC STREET, LLC

Doing business as

U.S. Renal Care Quebec Street Dialysis

Practice address

3400 NW Centre Dr
Fort Worth, TX 76135-3629

Phone

(817) 210-6861

Fax

(817) 210-6865

NPI assigned

Sep 29, 2022

Last updated

Sep 29, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

US RENAL CARE INCAs reported in NPPES

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

Authorized official

Name

Thomas L Weinberg

Title

Chairman/President

Phone

(214) 736-2730

Specialties & licenses 1

Addresses

Other names 1

• U.S. Renal Care Quebec Street Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

US Renal Care Inc

Locations

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1497479828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251549",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251500",
            "telephone_number": "214-736-2700",
            "fax_number": "214-736-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NW CENTRE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761353629",
            "telephone_number": "817-210-6861",
            "fax_number": "817-210-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC QUEBEC STREET, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US RENAL CARE INC",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN/PRESIDENT",
        "authorized_official_telephone_number": "214-736-2730"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Quebec Street Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Usrc East Ft Worth LLC (U.S. Renal Care East Fort Worth Dialysis)
• Usrc Eastchase, LLC (U.S. Renal Care Eastchase Dialysis)
• Usrc Keller LLC (U.S. Renal Care Keller Dialysis)
• Usrc SW Ft Worth LLC (U.S. Renal Care Southwest Fort Worth Dialysis)
• Usrc Tarrant L P (USRC Tarrant Dialysis North Fort Worth)
• Usrc Tarrant L P (US Renal Care Tarrant Dialysis Tarrant County)
• Usrc Tarrant L P (US Renal Care Tarrant Dialysis Central Fort Worth)
• Usrc Tarrant L P (USRC Tarrant Dialysis Fort Worth)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.

Verify at the official NPI Registry.