Valdosta Dialysis Clinic

LBN: Nra-Valdosta, Georgia, Llc
Valdosta Dialysis Clinic is an health care organization with primary practice located at 1115 S Patterson St , Valdosta GA 31601-6347. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Nra-Valdosta, Georgia, Llc can be contacted via phone (229) 244-6045, or through Blanton, Barry L. via phone (781) 699-9000.

Contact Information

Primary practice address
1115 S Patterson St Valdosta GA 31601-6347
Phone: (229) 244-6045
Fax: (229) 244-6291
Website:
Map and Directions
Authorized official contact:
Name: Blanton, Barry L.
Phone: (781) 699-9000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X ESRD00796 Georgia

Profile Details

NPI number 1194757237
LBN Legal business name Nra-Valdosta, Georgia, Llc
DBA Doing business as Valdosta Dialysis Clinic
Authorized official Blanton, Barry L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 7th, 2006
Last updated Oct 17th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194757237 NPPES
Georgia MEDICAID 770096220A
Georgia Other 11D1057790

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