HARBIN CLINIC LLC NPI 1851302236

NPI Information

NPI: 1851302236
Provider Name: HARBIN CLINIC, LLC

Doing Business As: HARBIN CLINIC DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
172 THREE RIVERS DR NE
ROME, GA
ZIP 30161
Phone: (706) 295-4641
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HARBIN CLINIC, LLC is an end-stage renal disease (esrd) treatment clinic center in Rome, GA. HARBIN CLINIC, LLC NPI is 1851302236. The provider is registered as an organization entity type.
The provider Is Doing Business As Harbin Clinic Dialysis Center.

The provider's business location address is:

172 THREE RIVERS DR NE
ROME, GA
ZIP 30161-999
Phone: (706) 295-4641
Fax: (706) 295-5379

The provider's authorized official is Kenneth Franklin Davis .
The authorized official title is President & Ceo and has the following contact phone number (706) 295-5331.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 8/22/2020.

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	ESRD001250	GEORGIA	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	51704028-001	OTHER	GEORGIA	BCBS OF 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

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