RCG LAKE VILLAGE
NPI 1902918790
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Lake Village, AR
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
About RCG LAKE VILLAGE
This page provides the complete NPI Profile along with additional information for Rcg Lake Village, a provider established in Lake Village, Arkansas operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1902918790 assigned on August 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Rcg Lake Village. The authorized official of this NPI record is Ned O Kronfol M.d. (Owner)
- NPI
- 1902918790 Verify this NPI
- Provider Legal Name
- RCG OF LAKE VILLAGE, LLC
- Other Organization Name
- RCG LAKE VILLAGE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 505 ST. MARY STREET LAKE VILLAGE, AR 71653
- Location Phone
- (870) 265-3837
- Location Fax
- (870) 265-5061
- Mailing Address
- 505 ST. MARY STREET LAKE VILLAGE, AR 71653
- Mailing Phone
- (870) 265-3837
- Mailing Fax
- (870) 265-5061
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-31-2006
- Last Update Date
- 04-24-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 042527 | MEDICARE ID-TYPE UNSPECIFIED (04) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902918790, enumerated as an "organization" on August 31, 2006.
The provider is located at 505 ST. MARY STREET LAKE VILLAGE, AR 71653 and the phone number is (870) 265-3837.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
