Phalen Dialysis

LBN: Chaffee Dialysis Llc
Phalen Dialysis is an health care organization with primary practice located at 862 Arcade St , Saint Paul MN 55106. 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. Chaffee Dialysis Llc can be contacted via phone (651) 776-0466, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
862 Arcade St Saint Paul MN 55106
Phone: (651) 776-0466
Fax: (651) 776-7838
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 1902392111
LBN Legal business name Chaffee Dialysis Llc
DBA Doing business as Phalen Dialysis
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2018
Last updated Jun 12th, 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 1902392111 NPPES
Minnesota MEDICAID 1902392111

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