Dialysis Management Group Llc

LBN: Dialysis Management Group Llc
Dialysis Management Group Llc is an health care organization with primary practice located at 101 Main Street , Porcupine SD 57772. 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. Dialysis Management Group Llc can be contacted via phone (605) 718-0391, or through Raymond, Louis C via phone (605) 718-0391.

Contact Information

Primary practice address
101 Main Street Porcupine SD 57772
Phone: (605) 718-0391
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Raymond, Louis C Doctor of Medicine (MD)
Phone: (605) 718-0391

Health care specialties

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

Profile Details

NPI number 1033219035
LBN Legal business name Dialysis Management Group Llc
DBA Doing business as
Authorized official Raymond, Louis C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Aug 10th, 2009 - about 16 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 1033219035 NPPES
South Dakota MEDICAID 5400390

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