Rai - Airline - Portsmouth

LBN: Rai Care Centers Of Virginia I, Llc
Rai - Airline - Portsmouth is an health care organization with primary practice located at 3080 Airline Blvd , Portsmouth VA 23701-2709. 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) 488-3590, or through Blanton, Barry L. via phone (781) 699-9000.

Contact Information

Primary practice address
3080 Airline Blvd Portsmouth VA 23701-2709
Phone: (757) 488-3590
Fax: (757) 488-8374
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 1760594311
LBN Legal business name Rai Care Centers Of Virginia I, Llc
DBA Doing business as Rai - Airline - 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 1760594311 NPPES
Virginia Other 184637 ANTEHM BCBS
Virginia MEDICAID 010245249 ANTEHM BCBS

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