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RAI CARE CENTERS OF MARYLAND I LLC NPI 1164604864


NPI Information

NPI: 1164604864
Provider Name: RAI CARE CENTERS OF MARYLAND I, LLC

Doing Business As: RAI - CHILLUM - HYATTSVILLE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2426 CHILLUM RD # C08-01
HYATTSVILLE, MD
ZIP 20782
Phone: (301) 927-8808
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RAI CARE CENTERS OF MARYLAND I, LLC is an end-stage renal disease (esrd) treatment clinic center in Hyattsville, MD. RAI CARE CENTERS OF MARYLAND I, LLC NPI is 1164604864. The provider is registered as an organization entity type.
The provider Is Doing Business As Rai - Chillum - Hyattsville.

The provider's business location address is:

2426 CHILLUM RD # C08-01
HYATTSVILLE, MD
ZIP 20782-629
Phone: (301) 927-8808
Fax: (301) 928-8809

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 enumeration date for this NPI number is 12/4/2007 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) TreatmentYes

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
1056327700MEDICAIDDISTRICT OF COLUMBIA
2416532200MEDICAIDMARYLAND

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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