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Prescott Renal Care Group, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Dewey, AZ · enumerated 2006 · authorized official Mark Fawcett, Treasurer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386756195

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Registry record

Entity type Organization (Type 2)
Legal business name Prescott Renal Care Group, LLC
Other name <Unavail>
Practice address 13175 E Highway 169, Dewey, AZ, 86327
Phone (928) 713-5122
Enumeration date Aug 31, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Mark Fawcett
Title Treasurer
Phone (781) 402-9000

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Prescott Renal Care Group, LLC?
NPPES lists Mark Fawcett (Treasurer) as the authorized official for this organization.
What is the NPI number for Prescott Renal Care Group, LLC?
The NPI for Prescott Renal Care Group, LLC is 1386756195, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.