Provider Demographics
NPI:1265854640
Name:RAI CARE CENTERS OF DENBIGH, LLC
Entity Type:Organization
Organization Name:RAI CARE CENTERS OF DENBIGH, LLC
Other - Org Name:FRESENIUS MEDICAL CARE DENBIGH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:555 DENBIGH BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-4201
Mailing Address - Country:US
Mailing Address - Phone:757-898-9391
Mailing Address - Fax:757-898-3106
Practice Address - Street 1:555 DENBIGH BLVD STE D
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-4201
Practice Address - Country:US
Practice Address - Phone:757-898-9391
Practice Address - Fax:757-898-3106
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-20
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA492680Medicare Oscar/Certification