MEDICARE: RENAL CARE GROUP OF THE MIDWEST INC

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
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number	:	1861504664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENAL CARE GROUP OF THE MIDWEST INC

Provider Business Mailing Address
First Line	:	1208 E HARTFORD AVE
Second Line	:
City	:	PONCA CITY
State	:	OK
Zip	:	74601-2017
Country	:	US
Telephone Number	:	580-718-9357
Fax Number	:	580-718-9421

Provider Business Practice Location Address
First Line	:	1208 E HARTFORD AVE
Second Line	:
City	:	PONCA CITY
State	:	OK
Zip	:	74601-2017
Country	:	US
Telephone Number	:	580-718-9357
Fax Number	:	580-718-9421

Authorized Official
Title or Position	:	TREASURER
Name	:	MARK R FAWCETT
Credential	:
Telephone Number	:	781-699-9000

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	03/30/2011

Similar Medicare Providers

1164562997 — DR. WILLIAM RANDAL WEBER D.D.S.
Practice Location Address:

1216 E HARTFORD AVE , SUITE 1A
PONCA CITY, OK
74601-2017

Practice Phone: 580-762-9119
Practice Fax: 580-762-9118

1700162880 — FMS MIDWEST DIALYSIS CENTERS, LLC
Practice Location Address:

1208 E HARTFORD AVE
PONCA CITY, OK
74601-2017

Practice Phone: 580-718-9357
Practice Fax: 580-718-9421

1801861166 — DR. STEPHEN D. SCHLINKE MD
Practice Location Address:

2017 W I-35 FRONTAGE ROAD , SUITE 160
OKLAHOMA CITY, OK
73134-1785

Practice Phone: 405-216-4004
Practice Fax:

1013954072 — DR. LYNN A HILL MD
Practice Location Address:

920 MAIN ST , SUITE 300
KANSAS CITY, MO
64105-2017

Practice Phone: 816-559-6331
Practice Fax:

1558390583 — SAFEWAY INC
Practice Location Address:

1755 IVY ST
JUNCTION CITY, OR
97448-2017

Practice Phone: 541-998-4526
Practice Fax: 541-998-4528

1528155322 — ROBERT STEVEN SHAPIRO D.P.M.
Practice Location Address:

2017 MIDDLEBELT RD
GARDEN CITY, MI
48135-2819

Practice Phone: 734-421-2727
Practice Fax:

Directions to “RENAL CARE GROUP OF THE MIDWEST INC ” 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.