HORTENSE & LOUIS RUBIN DIALYSIS CENTER INC. NPI 1386605772

NPI Information

NPI: 1386605772
Provider Name: HORTENSE & LOUIS RUBIN DIALYSIS CENTER, INC.
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1850 PEOPLES AVE
TROY, NY
ZIP 12180
Phone: (518) 271-0702
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HORTENSE & LOUIS RUBIN DIALYSIS CENTER, INC. is an end-stage renal disease (esrd) treatment clinic center in Troy, NY. HORTENSE & LOUIS RUBIN DIALYSIS CENTER, INC. NPI is 1386605772. The provider is registered as an organization entity type.

The provider's business location address is:

1850 PEOPLES AVE
TROY, NY
ZIP 12180-607
Phone: (518) 271-0702
Fax: (518) 271-0624

The provider's authorized official is Wayne A Evancoe .
The authorized official title is Administrator and has the following contact phone number (518) 271-0702.

The enumeration date for this NPI number is 3/28/2006 and was last updated on 7/20/2007.

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	4102201R	NEW YORK	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	953252	OTHER	NEW YORK	MVP
2	10005842	OTHER	NEW YORK	CDPHP
3	005376	OTHER	NEW YORK	EBCBS
4	00964250	MEDICAID	NEW YORK
5	000400438001	OTHER	NEW YORK	BSNENY
6	332532	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	TROY

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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