Provider Demographics
NPI:1811255540
Name:RAI CARE CENTERS OF SAN FRANCISCO, LLC
Entity type:Organization
Organization Name:RAI CARE CENTERS OF SAN FRANCISCO, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:WEILAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-507-3303
Mailing Address - Street 1:1550 W MCEWEN DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-1769
Mailing Address - Country:US
Mailing Address - Phone:615-661-1100
Mailing Address - Fax:615-507-3300
Practice Address - Street 1:626 POTRERO AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2117
Practice Address - Country:US
Practice Address - Phone:615-661-1100
Practice Address - Fax:615-507-3300
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RENAL ADVANTAGE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment