Avail Southeast Kidney Care Llc

LBN: Avail Southeast Kidney Care Llc
Avail Southeast Kidney Care Llc is an health care organization with primary practice located at 2008 Brookside Dr Ste 100 , Kingsport TN 37660-4640. 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. Avail Southeast Kidney Care Llc can be contacted via phone (423) 343-5734, or through Wood, William E via phone (615) 327-3061.

Contact Information

Primary practice address
2008 Brookside Dr Ste 100 Kingsport TN 37660-4640
Phone: (423) 343-5734
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wood, William E
Phone: (615) 327-3061

Health care specialties

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

Profile Details

NPI number 1114480761
LBN Legal business name Avail Southeast Kidney Care Llc
DBA Doing business as
Authorized official Wood, William E
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2019
Last updated Mar 16th, 2022 - about 4 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 1114480761 NPPES
Tennessee MEDICAID Q061460

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