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RAI CARE CENTERS OF VIRGINIA I LLC NPI 1861424947


NPI Information

NPI: 1861424947
Provider Name: RAI CARE CENTERS OF VIRGINIA I, LLC

Doing Business As: RAI-CHESAPEAKE AVE-NEWPORT NEWS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 49D1055369

Address:
3115 JEFFERSON AVE
NEWPORT NEWS, VA
ZIP 23607
Phone: (757) 247-4080
Get Directions

RAI CARE CENTERS OF VIRGINIA I, LLC is an end-stage renal disease (esrd) treatment clinic center in Newport News, VA. RAI CARE CENTERS OF VIRGINIA I, LLC NPI is 1861424947. The provider is registered as an organization entity type.
The provider Is Doing Business As Rai-chesapeake Ave-newport News.

The provider's business location address is:

3115 JEFFERSON AVE
NEWPORT NEWS, VA
ZIP 23607-403
Phone: (757) 247-4080
Fax: (757) 247-4084

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 49D1055369 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 11/21/2023.


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
1010399289MEDICAIDVIRGINIA

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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