RAI CARE CENTERS OF GEORGIA I LLC NPI 1740511666

NPI Information

NPI: 1740511666
Provider Name: RAI CARE CENTERS OF GEORGIA I LLC

Other Name: RAI-PEACHTREE ST.-LOUISVILLE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1069 PEACHTREE ST
LOUISVILLE, GA
ZIP 30434
Phone: (478) 625-9566
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RAI CARE CENTERS OF GEORGIA I LLC is an end-stage renal disease (esrd) treatment clinic center in Louisville, GA. RAI CARE CENTERS OF GEORGIA I LLC NPI is 1740511666. The provider is registered as an organization entity type.
The provider Other Name Is Rai-peachtree St.-louisville.

The provider's business location address is:

1069 PEACHTREE ST
LOUISVILLE, GA
ZIP 30434-558
Phone: (478) 625-9566
Fax: (478) 625-9567

The provider's authorized official is Mark Fawcett .
The authorized official title is Treasurer and has the following contact phone number (781) 699-9000.

The enumeration date for this NPI number is 1/15/2010 and was last updated on 11/18/2014.

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

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	112652	MEDICARE OSCAR/CERTIFICATION	GEORGIA

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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