Lakeside Dialysis

LBN: Dva Healthcare Of Maryland Llc
Lakeside Dialysis is an health care organization with primary practice located at 10401 Hospital Dr Ste G2 , Clinton MD 20735-3113. 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. Dva Healthcare Of Maryland Llc can be contacted via phone (301) 856-6550, or through Winstel, John via phone (253) 733-4501.

Contact Information

Primary practice address
10401 Hospital Dr Ste G2 Clinton MD 20735-3113
Phone: (301) 856-6550
Fax: (301) 856-5693
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John
Phone: (253) 733-4501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X E2564 Maryland

Profile Details

NPI number 1568422459
LBN Legal business name Dva Healthcare Of Maryland Llc
DBA Doing business as Lakeside Dialysis
Authorized official Winstel, John
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2006
Last updated Apr 20th, 2021 - about 3 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 1568422459 NPPES
Maryland MEDICAID 429285500
Maryland MEDICAID 033165700
Maryland MEDICAID 1568422459

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