Nra-Georgetown, Kentucky, Llc in Georgetown - End-stage Renal Disease (esrd) Treatment
Nra-Georgetown, Kentucky, Llc - NPI 1588878490
Nra-Georgetown, Kentucky, Llc is a End-stage Renal Disease (esrd) Treatment in Georgetown, Kentucky. Nra-Georgetown, Kentucky, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Nra-Georgetown, Kentucky, Llc is 1588878490. The last update date is 2023-10-17.
Nra-Georgetown, Kentucky, Llc's current location address is 98 Mary Lynn Dr, Georgetown, Kentucky. You can contact this provider via phone number 5028673855 and fax number 5028674899. The mailing address for Nra-Georgetown, Kentucky, Llc is 98 Mary Lynn Dr, Georgetown, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Nra-Georgetown, Kentucky, Llc |
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Address | 98 Mary Lynn Dr, Georgetown, Kentucky |
Phone Number | 5028673855 |
Fax Number | 5028674899 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | VICE PRESI |
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Authorized Official Name | Blanton L. Barry |
Telephone Number | 7816999000 |
NPI Number Detail
NPI Number | 1588878490 |
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Provider Enumeration Date | 2007-05-09 |
Last Updated Date | 2023-10-17 |
Provider Mailing Address Detail
Address | 98 Mary Lynn Dr |
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City | Georgetown |
State | Kentucky (KY) |
Post Code | 403248520 |
Phone Number | 5028673855 |
Fax Number | 5028674899 |
Provider's Primary Taxonomy Detail
Speciality | End-stage Renal Disease (esrd) Treatment |
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Taxonomy | 261Qe0700X |
Licence No | 300193 |
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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18D1071520 | KY | CLIA CERT OF WAIVER | |
PENDING | KY | -- |
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What is the unique 10-digit identification code assigned to Nra-Georgetown, Kentucky, Llc by the Centers for Medicare & Medicaid Services?
The Nra-Georgetown, Kentucky, Llc has been issued the NPI (National Provider Identifier) 1588878490, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Nra-Georgetown, Kentucky, Llc located?
The Nra-Georgetown, Kentucky, Llc is located at 98 Mary Lynn Dr, Georgetown, KY 403248520.
What is Nra-Georgetown, Kentucky, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Nra-Georgetown, Kentucky, Llc's specialized field of practice is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of specialization is 261Qe0700X.
When did Nra-Georgetown, Kentucky, Llc receive its 1588878490 assignment?
The Nra-Georgetown, Kentucky, Llc was assigned its 1588878490 on 2007-05-09, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Nra-Georgetown, Kentucky, Llc most recently updated or revised?
The details related to Nra-Georgetown, Kentucky, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2023-10-17.