Classic City Dialysis

LBN: Adair Dialysis Llc
Classic City Dialysis is an health care organization with primary practice located at 1686 Prince Ave , Athens GA 30606-6021. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Adair Dialysis Llc can be contacted via phone (706) 850-7400, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
1686 Prince Ave Athens GA 30606-6021
Phone: (706) 850-7400
Fax: (706) 850-7404
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X Georgia

Profile Details

NPI number 1306336383
LBN Legal business name Adair Dialysis Llc
DBA Doing business as Classic City Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2018
Last updated Dec 5th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306336383 NPPES
Georgia MEDICAID 015919587A

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