Active NPI
Usrc Central York LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- USRC CENTRAL YORK LLC
- Practice address
- 1920 Queenswood Rd
Ste 100
York, PA 17403-4269 - Phone
- (717) 843-7380
- Fax
- (717) 843-7384
- NPI assigned
- May 31, 2012
- Organization subpart
- Yes
- Parent organization
- U.S. 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
- Thomas L. Weinberg
- Title
- Authorized Representative
- Phone
- (214) 736-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1920 Queenswood Rd
Ste 100
York, PA 17403-4269
Mailing address
PO Box 19119
Jonesboro, AR 72403-6601
Phone (870) 931-5400
Other names 1
- U.S. Renal Care Central York Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120627000081 | PA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 8325203219 | Practice locations: York, PA |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- USRC Central York
- Overall star rating
- Ownership
- Profit
- Certified
- Aug 1, 2012
- Medicare certification status
- Active
- Chain
- US Renal Care, Inc.
- Dialysis stations
- 13
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 |
|---|---|---|---|
| 39D2042860 | Usrc Central York, LLC | Certificate of waiver | Jun 20, 2028 |
National Provider Directory
National Provider Directory- Part of
- US Renal Care Inc
Locations
1920 Queenswood Dr
#100
York, PA 17403
Phone (717) 843-7380
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- York, PA
- NPI 1104892223
-
- Renal Dialysis Technician
- York, PA
- NPI 1104447358
Affiliated clinicians 6
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": "1338422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382659200000",
"number": "1992066575",
"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": "1920 QUEENSWOOD RD",
"address_2": "STE 100",
"city": "YORK",
"state": "PA",
"postal_code": "174034269",
"telephone_number": "717-843-7380",
"fax_number": "717-843-7384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USRC CENTRAL YORK LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "U.S. RENAL CARE, INC",
"enumeration_date": "2012-05-31",
"last_updated": "2013-10-25",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "214-736-2700"
},
"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": "U.S. Renal Care Central York Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.