Organization Active NPI

Ara-Kittanning Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Kittanning, PA
National Provider Identifier
1497797815
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ARA-KITTANNING DIALYSIS LLC
Practice address
85 Glade Dr
Kittanning, PA 16201-7140
Phone
(724) 543-1828
Fax
(724) 543-1829
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Christopher T Ford
Title
President/Ceo
Phone
(978) 922-3080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

85 Glade Dr
Kittanning, PA 16201-7140

Mailing address

66 Cherry Hill Dr
Suite 200
Beverly, MA 01915-1054
Phone (978) 922-3080

Other identifiers 1

IdentifierTypeStateIssuer
1010380790001MedicaidPA

Other names 1

  • Armstrong County Dialysis Center Doing business as

National Provider Directory

National Provider Directory

Locations

85 Glade Dr
Unit C
Kittanning, PA 16201
Phone (724) 534-1828

85 Glade Dr
Kittanning, PA 16201
Phone (724) 543-1828

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497797815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CHERRY HILL DR",
            "address_2": "SUITE 200",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151054",
            "telephone_number": "978-922-3080",
            "fax_number": "978-922-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 GLADE DR",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017140",
            "telephone_number": "724-543-1828",
            "fax_number": "724-543-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARA-KITTANNING DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "978-922-3080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010380790001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Armstrong County Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kittanning, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.