Hartford Downtown Dialysis

LBN: Dierks Dialysis Llc
Hartford Downtown Dialysis is an health care organization with primary practice located at 80 Seymour St , Hartford CT 06106-3300. 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. Dierks Dialysis Llc can be contacted via phone (860) 244-2108, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
80 Seymour St Hartford CT 06106-3300
Phone: (860) 244-2108
Fax: (860) 244-2133
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1619442639
LBN Legal business name Dierks Dialysis Llc
DBA Doing business as Hartford Downtown Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2018
Last updated Nov 8th, 2023 - about 2 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 1619442639 NPPES
Connecticut MEDICAID 008085529

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