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NRA-AUGUSTA GEORGIA LLC NPI 1073560611


NPI Information

NPI: 1073560611
Provider Name: NRA-AUGUSTA, GEORGIA, LLC

Doing Business As: FRESENIUS MEDICAL CARE DEANS BRIDGE ROAD

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 11D1048890

Address:
2841 DEANS BRIDGE RD
AUGUSTA, GA
ZIP 30906
Phone: (706) 790-5909
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NRA-AUGUSTA, GEORGIA, LLC is an end-stage renal disease (esrd) treatment clinic center in Augusta, GA. NRA-AUGUSTA, GEORGIA, LLC NPI is 1073560611. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Deans Bridge Road.

The provider's business location address is:

2841 DEANS BRIDGE RD
AUGUSTA, GA
ZIP 30906-704
Phone: (706) 790-5909
Fax: (706) 790-4373

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 11D1048890 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 10/17/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentESRD001258GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
111D1048890OTHERGEORGIACLIA CERTIFICATE OF WAIVE
2829687764AMEDICAIDGEORGIA

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

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