U S Renal Care South Georgia Dialysis

LBN: Dca Of So Ga Llc
U S Renal Care South Georgia Dialysis is an health care organization with primary practice located at 3564 N Crossing Cir Ste A , Valdosta GA 31602-6413. 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 So Ga Llc can be contacted via phone (229) 249-3222, or through Weinberg, Thomas L via phone (214) 736-2700.

Contact Information

Primary practice address
3564 N Crossing Cir Ste A Valdosta GA 31602-6413
Phone: (229) 249-3222
Fax: (229) 249-0775
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 1790748101
LBN Legal business name Dca Of So Ga Llc
DBA Doing business as U S Renal Care South Georgia Dialysis
Authorized official Weinberg, Thomas L
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 7th, 2006
Last updated Jul 17th, 2014 - about 11 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 1790748101 NPPES
Georgia MEDICAID 000895309C

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