HOGANSVILLE DIALYSIS CLINIC – NPI #1497703078
Clinic/Center
HOGANSVILLE DIALYSIS CLINIC is an AHC clinic located in HOGANSVILLE, GA. NPPES has assigned the NPI number 1497703078 to HOGANSVILLE DIALYSIS CLINIC on May 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HOGANSVILLE DIALYSIS CLINIC” is a dba name, the actual legal business name for this organization is NRA-HOGANSVILLE, GEORGIA, LLC. 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
The NPI profile was previously updated about 15 years ago on Feb 10, 2011. 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 HOGANSVILLE DIALYSIS CLINIC below.
NPI Profile for
NRA-HOGANSVILLE, GEORGIA, LLC
(more than 20 years ago)
HOGANSVILLE, GA 30230 Phone: (706) 637-4028 Fax: (706) 637-4382
SUITE 500
FRANKLIN, TN 37067-1731 Phone: (615) 661-1100 Fax: (615) 507-3300
VICE PRESIDENT
Phone: (615) 507-3307
Identifiers for HOGANSVILLE DIALYSIS CLINIC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | CLIA CERT OF WAIVER | GA | 11D1054263 |
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) |
GA | PENDING |
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.