LANDSFORD DIALYSIS LLC NPI 1790111789

NPI Information

NPI: 1790111789
Provider Name: LANDSFORD DIALYSIS LLC

Doing Business As: PRINCESS ANNE DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3973 HOLLAND RD
VIRGINIA BEACH, VA
ZIP 23452
Phone: (615) 341-5875
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LANDSFORD DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Virginia Beach, VA. LANDSFORD DIALYSIS LLC NPI is 1790111789. The provider is registered as an organization entity type.
The provider Is Doing Business As Princess Anne Dialysis.

The provider's business location address is:

3973 HOLLAND RD
VIRGINIA BEACH, VA
ZIP 23452-804
Phone: (615) 341-5875

The provider's authorized official is James K Hilger .
The authorized official title is Chief Accounting Off and has the following contact phone number (253) 733-4500.

The enumeration date for this NPI number is 9/23/2013 and was last updated on 10/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment		VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	492675	MEDICARE OSCAR/CERTIFICATION	VIRGINIA
2	1790111789	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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