Active NPI
Ara-Kittanning Dialysis LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Kittanning, PA
National Provider Identifier
1497797815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010380790001 | Medicaid | PA |
Other names 1
- Armstrong County Dialysis Center
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nephrology Physician
- Kittanning, PA
- NPI 1124014634
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.