KIDNEY HEALTH CENTER OF EAST PROVIDENCE – NPI #1770797821
Clinic/Center

KIDNEY HEALTH CENTER OF EAST PROVIDENCE is an AHC clinic located in EAST PROVIDENCE, RI. NPPES has assigned the NPI number 1770797821 to KIDNEY HEALTH CENTER OF EAST PROVIDENCE on May 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KIDNEY HEALTH CENTER OF EAST PROVIDENCE” is a dba name, the actual legal business name for this organization is ARA-RHODE ISLAND DIALYSIS II LLC. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 6 years ago on Mar 10, 2020. 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 KIDNEY HEALTH CENTER OF EAST PROVIDENCE below.

NPI Profile for
ARA-RHODE ISLAND DIALYSIS II LLC

NPI Number
1770797821
Enumeration Date

(more than 19 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
ARA-RHODE ISLAND DIALYSIS II LLC
Doing Business As (dba): KIDNEY HEALTH CENTER OF EAST PROVIDENCE
Primary location
318 WATERMAN AVE
EAST PROVIDENCE, RI 02914-3525
Phone: (401) 435-5200 Fax: (401) 435-5995
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHARI COUSINS
SR. VP OF CLINICAL & REGULATORY
Phone: (978) 922-3080
Updated
Certification Date
Mar 10, 2020

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.

Identifiers

Identifiers for KIDNEY HEALTH CENTER OF EAST PROVIDENCE

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.

DescriptionIssuerStateIdentifier
MEDICAIDRIAR38642
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
261QM1300X
- Clinic/Center / Multi-Specialty (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.