RAI CARE CENTERS OF STOCKBRIDGE LLC NPI 1457673949

NPI Information

NPI: 1457673949
Provider Name: RAI CARE CENTERS OF STOCKBRIDGE, LLC

Doing Business As: RAI-EAGLES LANDING-STOCKBRIDGE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 11D2009990

Address:
500 EAGLES LANDING PKWY
STOCKBRIDGE, GA
ZIP 30281
Phone: (770) 474-6068
Get Directions

RAI CARE CENTERS OF STOCKBRIDGE, LLC is an end-stage renal disease (esrd) treatment clinic center in Stockbridge, GA. RAI CARE CENTERS OF STOCKBRIDGE, LLC NPI is 1457673949. The provider is registered as an organization entity type.
The provider Is Doing Business As Rai-eagles Landing-stockbridge.

The provider's business location address is:

500 EAGLES LANDING PKWY
STOCKBRIDGE, GA
ZIP 30281-236
Phone: (770) 474-6068
Fax: (770) 507-1718

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 11D2009990 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/24/2010 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			Yes

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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