Athens Renal Center Llc

LBN: Athens Renal Center Llc
Athens Renal Center Llc is an health care organization with primary practice located at 2047 Prince Ave Suite A, Athens GA 30606-6033. 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. Athens Renal Center Llc can be contacted via phone (706) 549-2133, or through Brady, Sara Anne via phone (208) 371-7878.

Contact Information

Primary practice address
2047 Prince Ave Suite A Athens GA 30606-6033
Phone: (706) 549-2133
Fax: (706) 549-2134
Website:
Map and Directions
Authorized official contact:
Name: Brady, Sara Anne
Phone: (208) 371-7878

Health care specialties

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

Profile Details

NPI number 1912320631
LBN Legal business name Athens Renal Center Llc
DBA Doing business as
Authorized official Brady, Sara Anne
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2014
Last updated Jan 11th, 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 1912320631 NPPES
Georgia MEDICAID 003149145A

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