Gresham Station Dialysis

LBN: Atchison Dialysis, Llc
Gresham Station Dialysis is an health care organization with primary practice located at 878 Nw Burnside Rd , Gresham OR 97030. 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. Atchison Dialysis, Llc can be contacted via phone (503) 465-1068, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
878 Nw Burnside Rd Gresham OR 97030
Phone: (503) 465-1068
Fax: (503) 491-9229
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

Profile Details

NPI number 1932568912
LBN Legal business name Atchison Dialysis, Llc
DBA Doing business as Gresham Station Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2016
Last updated Jun 25th, 2024 - about last year

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 1932568912 NPPES
Oregon Other 17-0116 STATE LICENSE
Oregon MEDICAID 1932568912 STATE LICENSE

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