Rai Goode Way Portsmouth

LBN: Rai Care Centers Of Virginia I, Llc
Rai Goode Way Portsmouth is an health care organization with primary practice located at 311 Goode Way , Portsmouth VA 23704-2265. 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 Virginia I, Llc can be contacted via phone (757) 393-6582, or through Blanton, Barry L. via phone (781) 699-9000.

Contact Information

Primary practice address
311 Goode Way Portsmouth VA 23704-2265
Phone: (757) 393-6582
Fax: (757) 393-7830
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 1639281165
LBN Legal business name Rai Care Centers Of Virginia I, Llc
DBA Doing business as Rai Goode Way Portsmouth
Authorized official Blanton, Barry L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 31st, 2006
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 1639281165 NPPES
Virginia MEDICAID 010244544
Virginia Other 184628

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