1497797815 NPI number — ARA-KITTANNING DIALYSIS LLC

Table of content: (NPI 1497797815)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497797815 NPI number — ARA-KITTANNING DIALYSIS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARA-KITTANNING DIALYSIS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497797815
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
66 CHERRY HILL DR
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
BEVERLY
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01915-1054
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-922-3080
Provider Business Mailing Address Fax Number:
978-922-3085

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
85 GLADE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KITTANNING
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16201-7140
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-543-1828
Provider Business Practice Location Address Fax Number:
724-543-1829
Provider Enumeration Date:
06/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FORD
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
T
Authorized Official Title or Position:
PRESIDENT/CEO
Authorized Official Telephone Number:
978-922-3080

Provider Taxonomy Codes

  • Taxonomy code: 261QE0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1010380790001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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