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NPI Code Detail

MEDICARE: ARA-ADELPHI LLC

MEDICARE: ARA-ADELPHI LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396784203
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARA-ADELPHI LLC
Provider Business Mailing Address
First Line : 1801 METZEROTT RD
Second Line :
City : ADELPHI
State : MD
Zip : 20783-5101
Country : US
Telephone Number : 301-434-1884
Fax Number : 301-434-1885
Provider Business Practice Location Address
First Line : 1801 METZEROTT RD
Second Line :
City : ADELPHI
State : MD
Zip : 20783-5101
Country : US
Telephone Number : 301-434-0500
Fax Number : 301-434-1885
Authorized Official
Title or Position : CHIEF NURSING OFFICER
Name : SARA ANNE BRADY
Credential :
Telephone Number : 208-371-7878
Provider Enumeration Date : 06/06/2006
Last Update Date : 01/14/2023

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Directions to “ARA-ADELPHI LLC ” Practice Location

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