Rai - Hwy - Fayetteville

LBN: Rai Care Centers Of Georgia I, Llc
Rai - Hwy - Fayetteville is an health care organization with primary practice located at 1240 Highway 54 W Ste 408 , Fayetteville GA 30214-4564. 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. Rai Care Centers Of Georgia I, Llc can be contacted via phone (770) 460-0136, or through Blanton, Barry L. via phone (781) 699-9000.

Contact Information

Primary practice address
1240 Highway 54 W Ste 408 Fayetteville GA 30214-4564
Phone: (770) 460-0136
Fax: (770) 460-0163
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

Profile Details

NPI number 1366764854
LBN Legal business name Rai Care Centers Of Georgia I, Llc
DBA Doing business as Rai - Hwy - Fayetteville
Authorized official Blanton, Barry L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 24th, 2010
Last updated Oct 17th, 2023 - about last year

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 1366764854 NPPES
Georgia MEDICAID 003115260A

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