BARBOURVILLE HOME DIALYSIS CENTER – NPI #1609040617
Clinic/Center

BARBOURVILLE HOME DIALYSIS CENTER is an AHC clinic located in BARBOURVILLE, KY. NPPES has assigned the NPI number 1609040617 to BARBOURVILLE HOME DIALYSIS CENTER on April 22, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BARBOURVILLE HOME DIALYSIS CENTER” is a dba name, the actual legal business name for this organization is NRA BARBOURVILLE HOME THERAPY CENTER KENTUCKY 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 14 years ago on Nov 29, 2012. 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 BARBOURVILLE HOME DIALYSIS CENTER below.

NPI Profile for
NRA BARBOURVILLE HOME THERAPY CENTER KENTUCKY LLC

NPI Number
1609040617
Enumeration Date

(more than 18 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
NRA BARBOURVILLE HOME THERAPY CENTER KENTUCKY LLC
Doing Business As (dba): BARBOURVILLE HOME DIALYSIS CENTER
Primary location
315 HOSPITAL DR
SUITE 3
BARBOURVILLE, KY 40906-7917
Phone: (606) 545-6600 Fax: (606) 546-2964
Mailing address
Same as primary location
Organization Subpart
Yes - BARBOURVILLE HOME DIALYSIS CENTER is subpart of another organization.
Authorized Official
MARK FAWCETT
TREASURER
Phone: (781) 699-9000
Updated
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.