Provider Demographics
NPI:1295829869
Name:RAI CARE CENTERS OF NEBRASKA II, LLC
Entity Type:Organization
Organization Name:RAI CARE CENTERS OF NEBRASKA II, LLC
Other - Org Name:RAI-AMES-OMAHA
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 1:5084 AMES AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-2323
Mailing Address - Country:US
Mailing Address - Phone:402-451-7745
Mailing Address - Fax:402-451-8090
Practice Address - Street 1:5084 AMES AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-2323
Practice Address - Country:US
Practice Address - Phone:402-451-7745
Practice Address - Fax:402-451-8090
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-03
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0715235Medicaid
NEA6810501OtherJOHN DEERE
NE60102OtherBCBS
NE10025309200Medicaid
NE282521Medicare ID - Type Unspecified