Organization
HORTENSE & LOUIS RUBIN DIALYSIS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE A EVANCOE CEO (ADMINISTRATOR)
(518) 271-0702
Entity
Organization
Contact information
Practice address
21 CROSSING BLVD, CLIFTON PARK, NY 12065-4181
(518) 831-6700
(518) 831-6710
Mailing address
21 CROSSING BLVD, CLIFTON PARK, NY 12065-4181
(518) 831-6700
(518) 831-6710
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
4102201R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000400438003
BSNENY
NY
05
—
00964250
—
NY
01
—
026966
EBCBS
NY
01
—
10005842
CDPHP
NY
01
—
332632
UHC/EMPIRE PLAN
NY
01
—
85540
MVP
NY
Enumeration date
04/27/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us