Renal Care Group Arizona, LLC

Primary specialty

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

Legal business name

RENAL CARE GROUP ARIZONA, LLC

Doing business as

RENAL CARE GROUP NATIVE AMERICAN

Practice address

Seed Farm & Skill Center Road
Box 207
Sacaton, AZ 85247-0207

Phone

(520) 562-3345

NPI assigned

Sep 1, 2006

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Mark Fawcett

Title

Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• RENAL CARE GROUP NATIVE AMERICAN Doing business as

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1750483921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 207",
            "address_2": "SEED FARM & SKILL CENTER ROAD",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "852470207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SEED FARM & SKILL CENTER ROAD",
            "address_2": "BOX 207",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "852470207",
            "telephone_number": "520-562-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CARE GROUP ARIZONA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "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": "RENAL CARE GROUP NATIVE AMERICAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara S, Raczka, FNP-C
• Sudha D. Rao, M.D.
• Leslie Ann Ray, M.ED., MSW, LCSW
• Sasha Hallett Reid, DO
• Gordon Whitelaw Reiter, RPH
• Leigh Jewel Rich, LAC
• Ted Rico
• Rachel Louise Rivera, OD
• Virginia Rodarte
• Mari C Rodriguez, FNP-C

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Sacaton, AZ
• Providers in Sacaton, AZ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.