American Red Cross

NPI #1952540874 in Columbia, Missouri

Provider Information

NPI Number: 1952540874
Entity Type: Organization
Organization Name: American Red Cross
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: Feb 17, 2009
Last Updated: Feb 17, 2009

Practice Location

Address: 1511 S PROVIDENCE RD
City: Columbia
State: Missouri
ZIP Code: 65203-3535
Phone: (573) 449-2656

Authorized Official

Name: MR. WALLY L THOMAS, MT, ASCP
Title: MANAGER, CLINICAL SERVICES
Phone: (573) 449-2656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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