| Renal Care Of Warren, Llc | |
|
2 W Crescent Park Warren PA 16365-2111 | |
| (814) 728-5570 | |
| (814) 728-5574 |
| Full Name | Renal Care Of Warren, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2 W Crescent Park, Warren, Pennsylvania |
| Authorized Official Name and Position | Alethea G. Cassidy (CEO) |
| Authorized Official Contact | 8144556455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renal Care Of Warren, Llc 1641 Sassafras St Erie PA 16502-1858 Ph: (814) 455-6455 | Renal Care Of Warren, Llc 2 W Crescent Park Warren PA 16365-2111 Ph: (814) 728-5570 |
| NPI Number | 1720072093 |
|---|---|
| Provider Enumeration Date | 09/01/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720072093 | NPI | - | NPPES |
| 1801089 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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Family Medicine Of Warren, Pa,pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 143 Pleasant Dr, Warren, PA 16365 Phone: 814-726-3310 | |
Natalie J. Beyeler, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Market St, Warren, PA 16365 Phone: 814-726-0211 Fax: 814-723-1078 | |
Ronald W Simonsen Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 341 Bird Ave, Warren, PA 16365 Phone: 814-723-6858 | |
Timothy S Stanton Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Main Ave, Warren, PA 16365 Phone: 814-723-8240 Fax: 814-723-3665 | |
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