Organization · Type 2 NPI

Jericho Dialysis, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hampton, VA

NPI number 1194185223 Active

Practice location

5 W Mercury Blvd
Hampton, VA 23669-2508

Fax (757) 728-3566

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1194185223

Jericho Dialysis, LLC's National Provider Identifier is 1194185223, issued on Mar 2, 2016. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Hampton, VA. The record was last updated on Apr 28, 2026.