Organization
RAI CARE CENTERS OF VIRGINIA I, LLC
Active
Parent organization
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Other names
RAI - S. CHURCH - SMITHFIELD
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRESENIUS MEDICAL CARE HOLDINGS, INC.
Authorized official
BARRY L. BLANTON (VICE PRESIDENT)
(781) 699-9000
Entity
Organization
Contact information
Practice address
1812 S CHURCH ST STE A, SMITHFIELD, VA 23430-1860
(757) 365-4293
(757) 365-4297
Mailing address
1812 S CHURCH ST STE A, SMITHFIELD, VA 23430-1860
(757) 365-4293
(757) 365-4297
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010399394
—
VA
01
—
201052
ANTHEM BCBS
VA
Enumeration date
07/06/2006
Last updated
10/17/2023
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