Kansas Avenue Dialysis

LBN: Colleton Dialysis Llc
Kansas Avenue Dialysis is an health care organization with primary practice located at 604 Kansas Ave , Clinton MO 64735-3069. 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. Colleton Dialysis Llc can be contacted via phone (660) 890-0830, or through Winstel, John via phone (253) 733-4501.

Contact Information

Primary practice address
604 Kansas Ave Clinton MO 64735-3069
Phone: (660) 890-0830
Fax: (660) 890-0789
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John
Phone: (253) 733-4501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1548697402
LBN Legal business name Colleton Dialysis Llc
DBA Doing business as Kansas Avenue Dialysis
Authorized official Winstel, John
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2013
Last updated Jun 26th, 2020 - about 5 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 1548697402 NPPES
Missouri MEDICAID 1548697402

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