Organization Active NPI

Reliant Renal Care-Colorado, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1497759153
Registry record updated Dec 17, 2012
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-COLORADO, LLC
Practice address
1605 N Union Blvd
Ste 100
Colorado Springs, CO 80909-2811
Phone
(719) 447-0818
Fax
(719) 520-1506
NPI assigned
Jun 10, 2005
Organization subpart
Yes
Parent organization
RELIANT RENAL CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Authorized official

Name
Mrs. Barbara Bednar
Title
Ceo
Phone
(610) 892-4700

Specialties & licenses 1

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

Addresses

Primary practice location

1605 N Union Blvd
Ste 100
Colorado Springs, CO 80909-2811

Mailing address

PO Box 671661
Dallas, TX 75267-1661
Phone (610) 892-4700

Other names 1

  • RRC Colorado Springs Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1497759153",
    "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": "1605 N UNION BLVD",
            "address_2": "STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092811",
            "telephone_number": "719-447-0818",
            "fax_number": "719-520-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT RENAL CARE-COLORADO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELIANT RENAL CARE, INC.",
        "enumeration_date": "2005-06-10",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "BEDNAR",
        "authorized_official_first_name": "BARBARA",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RRC Colorado Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.