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RAI CARE CENTERS OF NEBRASKA II LLC NPI 1548354301


NPI Information

NPI: 1548354301
Provider Name: RAI CARE CENTERS OF NEBRASKA II, LLC

Other Name: RAI-NORTH HEALTHY WAY-FREMONT

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2660 NORTH HEALTHY WAY
FREMONT, NE
ZIP 68025
Phone: (402) 721-1158
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RAI CARE CENTERS OF NEBRASKA II, LLC is an end-stage renal disease (esrd) treatment clinic center in Fremont, NE. RAI CARE CENTERS OF NEBRASKA II, LLC NPI is 1548354301. The provider is registered as an organization entity type.
The provider Other Name Is Rai-north Healthy Way-fremont.

The provider's business location address is:

2660 NORTH HEALTHY WAY
FREMONT, NE
ZIP 68025-318
Phone: (402) 721-1158
Fax: (402) 721-0324

The provider's authorized official is Jon M Sundock .
The authorized official title is Vice President and has the following contact phone number (615) 507-3307.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 2/15/2011.


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
160102OTHERNEBRASKABCBS
2A6810501OTHERNEBRASKAJOHN DEERE
310025309100MEDICAIDNEBRASKA
4282508MEDICARE ID-TYPE UNSPECIFIEDNEBRASKA

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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