Southside Urology & Nephrology

LBN: Danville Urologic Clinic Inc
Southside Urology & Nephrology is an health care organization with primary practice located at 1040 Main St , Danville VA 24541-1816. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty. Danville Urologic Clinic Inc can be contacted via phone (434) 792-1433, or through Carbone, Joseph M via phone (434) 792-1433.

Contact Information

Primary practice address
1040 Main St Danville VA 24541-1816
Fax: (434) 797-2807
Website:
Authorized official contact:
Name: Carbone, Joseph M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X Virginia
Allopathic & Osteopathic Physicians / Urology 208800000X Virginia

Profile Details

NPI number 1619927100
LBN Legal business name Danville Urologic Clinic Inc
DBA Doing business as Southside Urology & Nephrology
Authorized official Carbone, Joseph M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Sep 7th, 2023 - 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 1619927100 NPPES
Virginia Other 171773 ANTHEM GROUP NUMBER
Virginia MEDICAID 89016RW ANTHEM GROUP NUMBER
Virginia Other DC7953 ANTHEM GROUP NUMBER

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