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NPI Code Detail

MEDICARE: RAI CARE CENTERS OF CLINTON LLC

MEDICARE: RAI CARE CENTERS OF CLINTON 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 : 1588890024
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAI CARE CENTERS OF CLINTON LLC
Provider Business Mailing Address
First Line : 424 CHURCH ST
Second Line : SUITE 1900
City : NASHVILLE
State : TN
Zip : 37219-2301
Country : US
Telephone Number : 615-777-8201
Fax Number :
Provider Business Practice Location Address
First Line : 7201 OLD ALEXANDRIA FERRY ROAD
Second Line :
City : CLINTON
State : MD
Zip : 20735-1865
Country : US
Telephone Number : 615-661-1100
Fax Number : 615-507-3300
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : THOMAS L. WEINBERG
Credential :
Telephone Number : 214-736-2700
Provider Enumeration Date : 06/10/2009
Last Update Date : 02/15/2016

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Directions to “RAI CARE CENTERS OF CLINTON LLC ” Practice Location

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