Cameron Park Dialysis

LBN: Bullards Dialysis Llc
Cameron Park Dialysis is an health care organization with primary practice located at 3311 Coach Ln Ste C, Cameron Park CA 95682-7247. 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. Bullards Dialysis Llc can be contacted via phone (530) 677-5114, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
3311 Coach Ln Ste C Cameron Park CA 95682-7247
Phone: (530) 677-5114
Fax: (530) 677-5190
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 110000457 California

Profile Details

NPI number 1497030852
LBN Legal business name Bullards Dialysis Llc
DBA Doing business as Cameron Park Dialysis
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2011
Last updated Jul 16th, 2024 - about 5 months 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 1497030852 NPPES
California MEDICAID 1497030852

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