Hortense & Louis Rubin Dialysis Center, Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

4102201R Issued in NY

Legal business name

HORTENSE & LOUIS RUBIN DIALYSIS CENTER, INC.

Practice address

59C Myrtle St
Saratoga Springs, NY 12866-1012

Phone

(518) 587-1919

Fax

(518) 587-1313

NPI assigned

Apr 4, 2006

Last updated

Jul 20, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Wayne A Evancoe, CEO

Title

Administrator

Phone

(518) 271-0702

Specialties & licenses 1

Addresses

Other identifiers 4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1275595571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59C MYRTLE ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661012",
            "telephone_number": "518-587-1919",
            "fax_number": "518-587-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59C MYRTLE ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661012",
            "telephone_number": "518-587-1919",
            "fax_number": "518-587-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORTENSE & LOUIS RUBIN DIALYSIS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "EVANCOE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "518-271-0702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "4102201R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00964250",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY",
            "identifier": "000400438002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10005842",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "955428",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Homer
• Hometown Primary Optometry PLLC
• Heather Boehme Hopkins, PT
• Tammy Lynn Horan
• Jennifer C Horn, MA, ATR-BC, LCAT
• Blake Hotopp, MHC-LP
• Tamara Howard, MD
• Jordyne Howe, LMSW
• Karen Hu, M.D.
• Edward Joseph Hubbell, LAC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.