Upper Deerfield Dialysis

LBN: Claymount Dialysis Llc
Upper Deerfield Dialysis is an health care organization with primary practice located at 21 Cornwell Dr , Bridgeton NJ 08302-3632. 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. Claymount Dialysis Llc can be contacted via phone (856) 453-2380, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
21 Cornwell Dr Bridgeton NJ 08302-3632
Phone: (856) 453-2380
Fax: (856) 453-2385
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 1699323824
LBN Legal business name Claymount Dialysis Llc
DBA Doing business as Upper Deerfield Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2019
Last updated Sep 8th, 2023 - about 2 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 1699323824 NPPES
New Jersey MEDICAID 0731676

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