Csra Renal Services, Llc

LBN: Csra Renal Services, Llc
Csra Renal Services, Llc is an health care organization with primary practice located at 755 Medical Park Dr , Aiken SC 29801-6306. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Csra Renal Services, Llc can be contacted via phone (803) 648-0718, or through Stahura, Douglas A via phone (803) 648-0718.

Contact Information

Primary practice address
755 Medical Park Dr Aiken SC 29801-6306
Phone: (803) 648-0718
Fax: (803) 641-9143
Website:
Map and Directions
Authorized official contact:
Name: Stahura, Douglas A Doctor of Osteopathy (DO)
Phone: (803) 648-0718

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1295799641
LBN Legal business name Csra Renal Services, Llc
DBA Doing business as
Authorized official Stahura, Douglas A Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2006
Last updated Nov 16th, 2016 - about 9 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 1295799641 NPPES
South Carolina MEDICAID GP3601
South Carolina Other 7953457
South Carolina MEDICAID GP4396

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