DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RENAL CARE OF WARREN, LLC

MEDICARE: RENAL CARE OF WARREN, 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
1261Q00000XClinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720072093
Entity Type Code : Organization
Provider Name (Legal Business Name) : RENAL CARE OF WARREN, LLC
Provider Business Mailing Address
First Line : 1641 SASSAFRAS ST
Second Line :
City : ERIE
State : PA
Zip : 16502-1858
Country : US
Telephone Number : 814-455-6455
Fax Number : 814-456-1188
Provider Business Practice Location Address
First Line : 2 W CRESCENT PARK
Second Line :
City : WARREN
State : PA
Zip : 16365-2111
Country : US
Telephone Number : 814-728-5570
Fax Number : 814-728-5574
Authorized Official
Title or Position : CEO
Name : MS. ALETHEA G. CASSIDY
Credential :
Telephone Number : 814-455-6455
Provider Enumeration Date : 09/01/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1811990229 — LEE E DENLINGER MD
Practice Location Address:
2 W CRESCENT PARK
WARREN, PA
16365-2111
Practice Phone: 814-726-0211
Practice Fax: 814-723-1078
1699771139 — KAMIE DEE REPINE CRNP
Practice Location Address:
2 CRESCENT PARK WEST , WARREN FACULTY SPECIALISTS
WARREN, PA
16365-2111
Practice Phone: 814-723-3300
Practice Fax: 814-451-0443
1659360220 — WARREN GENERAL HOSPITAL
Practice Location Address:
2 W CRESCENT PARK
WARREN, PA
16365-2111
Practice Phone: 814-723-3300
Practice Fax: 814-723-8515
1770572430 — DR. LEROY J KORB M.D.
Practice Location Address:
2 W CRESCENT PARK
WARREN, PA
16365-2111
Practice Phone: 814-723-3300
Practice Fax: 814-723-8515
1346239993 — DR. VIJAYA K AGARWALA M.D.
Practice Location Address:
2 W CRESCENT PARK
WARREN, PA
16365-2111
Practice Phone: 814-723-3300
Practice Fax: 814-723-8515
1538158936 — DR. NIAZ AHMED M.D.
Practice Location Address:
2 W CRESCENT PARK
WARREN, PA
16365-2111
Practice Phone: 814-723-3300
Practice Fax: 814-723-8515

Directions to “RENAL CARE OF WARREN, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.