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NPI Code Detail

MEDICARE: REACH KIDNEY CARE LLC

MEDICARE: REACH KIDNEY CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1578214144
Entity Type Code : Organization
Provider Name (Legal Business Name) : REACH KIDNEY CARE LLC
Provider Business Mailing Address
First Line : 1633 CHURCH ST STE 500
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2948
Country : US
Telephone Number : 615-327-3061
Fax Number : 615-963-9730
Provider Business Practice Location Address
First Line : 3200 W END AVE STE 500
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1322
Country : US
Telephone Number : 615-963-9730
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DONOVAN SCHULTZ
Credential :
Telephone Number : 615-327-3061
Provider Enumeration Date : 01/14/2022
Last Update Date : 08/11/2023

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Directions to “REACH KIDNEY CARE LLC ” Practice Location

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