- Practice location
- 906 E 1ST St, Vidalia, GA 30474-4207
- Phone
- 912-538-8908
- Fax
- 912-538-8909
- Last updated
- August 22, 2020
Ara-Vidalia Clinic LLC is a healthcare organization based in Vidalia, GA. Ara-Vidalia Clinic LLC practices in Vidalia, GA. The NPI Number for Ara-Vidalia Clinic LLC is 1871537654. The current practice location address for Ara-Vidalia Clinic LLC is 906 E 1ST St, Vidalia, GA 30474-4207 and can be reached out via phone at 912-538-8908 and via fax at 912-538-8909.
Provider Profile Details
- NPI Number
- 1871537654
- Provider Name
- Ara-Vidalia Clinic LLC
- Provider Entity Type
- Organization
- Address
- 906 E 1ST St, Vidalia, GA 30474-4207
- Phone Number
- 912-538-8908
- Fax Number
- 912-538-8909
- Primary Taxonomy
- Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · 261QE0700X
- Organization Subpart
- No
- Authorized Official
- Mr. Christopher T Ford · President/Ceo · 978-922-3080
- Other Names
- Nca - Vidalia (Doing Business As)
- Provider Enumeration Date
- June 15, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 906 E 1ST St
Vidalia, GA 30474-4207 - City
- Vidalia
- State
- Georgia
- Zip
- 30474-4207
- Phone Number
- 912-538-8908
- Fax Number
- 912-538-8909
Provider Business Mailing Address Details
- Address
- 66 Cherry Hill Dr
Suite 200
Beverly, MA 01915-1054 - City
- Beverly
- State
- MA
- Zip
- 01915-1054
- Phone Number
- 978-922-3080
- Fax Number
- 978-922-3085
License Information
- Taxonomy
- Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · 261QE0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, End-Stage Renal Disease (ESRD) Treatment providers near Vidalia, GA
View all Clinic/Center, End-Stage Renal Disease (ESRD) Treatment providers in Vidalia →Frequently Asked Questions
What is the NPI number of Ara-Vidalia Clinic LLC?
The NPI number of Ara-Vidalia Clinic LLC is 1871537654. It was assigned on June 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Ara-Vidalia Clinic LLC?
Ara-Vidalia Clinic LLC is registered under the primary taxonomy Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (code 261QE0700X).
Where does Ara-Vidalia Clinic LLC practice?
The practice location is 906 E 1ST St, Vidalia, GA 30474-4207. The office can be reached at 912-538-8908 (phone) or 912-538-8909 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871537654 directly on the NPPES registry website.