Porcupine Dialysis Center

LBN: Dialysis Management Group Llc
Porcupine Dialysis Center is an health care organization with primary practice located at Hcr 49 , Porcupine SD 57772-0000. 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) 718-0392, or through Rada, Allen via phone (605) 390-0910.

Contact Information

Primary practice address
Hcr 49 Porcupine SD 57772-0000
Phone: (605) 718-0392
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rada, Allen
Phone: (605) 390-0910

Health care specialties

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

Profile Details

NPI number 1922318666
LBN Legal business name Dialysis Management Group Llc
DBA Doing business as Porcupine Dialysis Center
Authorized official Rada, Allen
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2010
Last updated Nov 22nd, 2013 - about 12 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 1922318666 NPPES
South Dakota MEDICAID 5400390

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