Provider Demographics
NPI:1437375607
Name:RCG UNIVERSITY DIVISION, INC.
Entity Type:Organization
Organization Name:RCG UNIVERSITY DIVISION, INC.
Other - Org Name:FRESENIUS MEDICAL CARE FOUNTAIN INN - GRAY COURT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:FAWCETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:298 CHAPMAN ROAD
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN INN
Mailing Address - State:SC
Mailing Address - Zip Code:29644-6129
Mailing Address - Country:US
Mailing Address - Phone:864-862-2273
Mailing Address - Fax:864-862-2465
Practice Address - Street 1:298 CHAPMAN ROAD
Practice Address - Street 2:
Practice Address - City:FOUNTAIN INN
Practice Address - State:SC
Practice Address - Zip Code:29644-6129
Practice Address - Country:US
Practice Address - Phone:864-862-2273
Practice Address - Fax:864-862-2465
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-17
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment