PINEVIEW DIALYSIS CLINIC LLC – NPI #1396418364
Clinic/Center

PINEVIEW DIALYSIS CLINIC LLC is an AHC clinic located in CLINTON, MD. NPPES has assigned the NPI number 1396418364 to PINEVIEW DIALYSIS CLINIC LLC on July 27, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PINEVIEW DIALYSIS CLINIC LLC below.

NPI Profile for
PINEVIEW DIALYSIS CLINIC LLC

NPI Number
1396418364
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PINEVIEW DIALYSIS CLINIC LLC
Primary location
9106 PINE VIEW LN
CLINTON, MD 20735-3229
Phone: (301) 856-2930 Fax:
Mailing address
8028 RITCHIE HWY STE 210
PASADENA, MD 21122-1075
Phone: (410) 766-1995 Fax:
Organization Subpart
No
Authorized Official
BRIAN FLINGLASS
VP FINANCE
Phone: (410) 766-1995
Updated
Certification Date
Jul 27, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.