NRA-CROSSVILLE TENNESSEE LLC NPI 1265489686

NPI Information

NPI: 1265489686
Provider Name: NRA-CROSSVILLE, TENNESSEE, LLC

Doing Business As: CROSSVILLE DIALYSIS CLINIC

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
121 DOOLEY ST
CROSSVILLE, TN
ZIP 38555
Phone: (931) 484-4500
Get Directions

NRA-CROSSVILLE, TENNESSEE, LLC is an end-stage renal disease (esrd) treatment clinic center in Crossville, TN. NRA-CROSSVILLE, TENNESSEE, LLC NPI is 1265489686. The provider is registered as an organization entity type.
The provider Is Doing Business As Crossville Dialysis Clinic.

The provider's business location address is:

121 DOOLEY ST
CROSSVILLE, TN
ZIP 38555-075
Phone: (931) 484-4500
Fax: (931) 484-2130

The provider's authorized official is Barry 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 5/30/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	0000000148	TENNESSEE	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	0442656	MEDICAID	TENNESSEE
2	44D1034070	OTHER	TENNESSEE	CLIA CERTIFICATE OF WAIVE

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: 5/5/2024

NPI Synchronization or Removal

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