Central Fort Worth Dialysis

LBN: Bainbridge Dialysis Llc
Central Fort Worth Dialysis is an health care organization with primary practice located at 1000 Saint Louis Ave Ste 101 , Fort Worth TX 76104-3377. 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. Bainbridge Dialysis Llc can be contacted via phone (817) 810-0379, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
1000 Saint Louis Ave Ste 101 Fort Worth TX 76104-3377
Phone: (817) 810-0379
Fax: (817) 870-9767
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

Profile Details

NPI number 1699041152
LBN Legal business name Bainbridge Dialysis Llc
DBA Doing business as Central Fort Worth Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2012
Last updated Jun 19th, 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 1699041152 NPPES
Texas MEDICAID 3397549-01

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