Provider Demographics
NPI:1467495291
Name:RCG UNIVERSITY DIVISION, INC.
Entity Type:Organization
Organization Name:RCG UNIVERSITY DIVISION, INC.
Other - Org Name:RCG GREER
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 1:3254 BRUSHY CREEK ROAD
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-1000
Mailing Address - Country:US
Mailing Address - Phone:864-801-2065
Mailing Address - Fax:864-801-2742
Practice Address - Street 1:3254 BRUSHY CREEK ROAD
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-1000
Practice Address - Country:US
Practice Address - Phone:864-801-2065
Practice Address - Fax:864-801-2742
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-13
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
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC422611Medicare Oscar/Certification