Fairfield Home Training Dialysis

LBN: Bullock Dialysis Llc
Fairfield Home Training Dialysis is an health care organization with primary practice located at 1210 Hicks Blvd , Fairfield OH 45014-1921. 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. Bullock Dialysis Llc can be contacted via phone (513) 939-1120, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
1210 Hicks Blvd Fairfield OH 45014-1921
Phone: (513) 939-1120
Fax: (513) 939-1150
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 1477018810
LBN Legal business name Bullock Dialysis Llc
DBA Doing business as Fairfield Home Training Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2019
Last updated Jul 12th, 2024 - about 4 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 1477018810 NPPES
Ohio MEDICAID 0369058

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