Port Lavaca Dialysis

LBN: Alamosa Dialysis Llc
Port Lavaca Dialysis is an health care organization with primary practice located at 1300 N Virginia St Ste 102, Port Lavaca TX 77979-2512. 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. Alamosa Dialysis Llc can be contacted via phone (361) 552-3800, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
1300 N Virginia St Ste 102 Port Lavaca TX 77979-2512
Phone: (361) 552-3800
Fax: (361) 552-8703
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 008733 Texas

Profile Details

NPI number 1801046255
LBN Legal business name Alamosa Dialysis Llc
DBA Doing business as Port Lavaca Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2008
Last updated Aug 24th, 2023 - about 3 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 1801046255 NPPES
Texas MEDICAID 2025991-02

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