Duluth Kidney Services Llc

LBN: Duluth Kidney Services Llc
Duluth Kidney Services Llc is an health care organization with primary practice located at 925 E Superior St Suite 106, Duluth MN 55802. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Duluth Kidney Services Llc can be contacted via phone (218) 249-6230, or through Popham, Sandy via phone (218) 249-6230.

Contact Information

Primary practice address
925 E Superior St Suite 106 Duluth MN 55802
Phone: (218) 249-6230
Fax: (218) 249-6231
Website:
Map and Directions
Authorized official contact:
Name: Popham, Sandy Doctor of Medicine (MD)
Phone: (218) 249-6230

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1972552156
LBN Legal business name Duluth Kidney Services Llc
DBA Doing business as
Authorized official Popham, Sandy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated Nov 11th, 2008 - about 17 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 1972552156 NPPES
Other 9831014 MEDICA
Other 04N86PO MEDICA
MEDICAID 462137900 MEDICA

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