U S Renal Care Central Valdosta Dialysis

LBN: Dca Of Central Valdosta Llc
U S Renal Care Central Valdosta Dialysis is an health care organization with primary practice located at 506 N Patterson St , Valdosta GA 31601-4608. 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. Dca Of Central Valdosta Llc can be contacted via phone (229) 219-0099, or through Weinberg, Thomas L. via phone (214) 736-2700.

Contact Information

Primary practice address
506 N Patterson St Valdosta GA 31601-4608
Phone: (229) 219-0099
Fax: (229) 219-7331
Website:
Map and Directions
Authorized official contact:
Name: Weinberg, Thomas L.
Phone: (214) 736-2700

Health care specialties

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

Profile Details

NPI number 1982667408
LBN Legal business name Dca Of Central Valdosta Llc
DBA Doing business as U S Renal Care Central Valdosta Dialysis
Authorized official Weinberg, Thomas L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 7th, 2006
Last updated Jun 21st, 2018 - about 7 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 1982667408 NPPES
Georgia MEDICAID 000895309E
Georgia Other 112699

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