NCA - VIDALIA
NPI 1871537654
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Vidalia, GA

Active since June 15, 2006
906 E 1ST ST, VIDALIA, GA 30474(912) 538-8908(912) 538-8909 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nca - Vidalia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NCA - VIDALIA (NPI 1871537654) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Vidalia, Georgia and active in the NPI registry since June 2006. The organization lists Christopher T Ford, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1871537654
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameARA-VIDALIA CLINIC LLC
Location Address906 E 1ST STVidalia, GA 30474-4207
Mailing Address66 Cherry Hill Dr, Suite 200Beverly, MA 01915-1054 · (978) 922-3080 · Fax (978) 922-3085
Fax(912) 538-8909
Organization SubpartNo
Authorized OfficialChristopher T FordPresident/ceo · (978) 922-3080
Enumeration DateJune 15, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1871537654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
906 E 1ST ST, Vidalia, GA 30474

Other Names 1

Doing Business AsNca - Vidalia

Other Identifiers 1

Medicaid00972529CGA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
906 E 1ST ST
VIDALIA, GA 30474

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is ARA-Vidalia Clinic LLC's NPI number?

The NPI number for ARA-Vidalia Clinic LLC is 1871537654. It was assigned to this organization in the NPPES registry on June 15, 2006. The provider is doing business as Nca - Vidalia.

Where is ARA-Vidalia Clinic LLC located?

ARA-Vidalia Clinic LLC is located at 906 E 1st St, Vidalia, GA 30474. The listed phone number is (912) 538-8908.

What is ARA-Vidalia Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for ARA-Vidalia Clinic LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.