Angelo Kidney Connection, Pllc
LBN: Angelo Kidney Connection, Pllc
Angelo Kidney Connection, Pllc is an health care organization with primary practice located at 2901 Sherwood Way Suite 100, San Angelo TX 76901-3586. 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.
Angelo Kidney Connection, Pllc can be contacted via phone (326) 617-2496, or through Baumgartner, Melanie L. via phone (325) 617-2496.
Contact Information
Primary practice address
2901 Sherwood Way Suite 100
San Angelo TX 76901-3586
Phone: (326) 617-2496
Fax: (325) 617-2497
Website:
Authorized official contact:
Name: Baumgartner, Melanie L. Registered Nurse (RN)
Phone: (325) 617-2496
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | ||
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | 8643 | Texas |
Profile Details
| NPI number | 1952589665 |
|---|---|
| LBN Legal business name | Angelo Kidney Connection, Pllc |
| DBA Doing business as | |
| Authorized official | Baumgartner, Melanie L. Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 5th, 2008 |
| Last updated | Sep 10th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952589665 | NPPES |
| Texas | MEDICAID | 1948945 |
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