Elk Grove Dialysis
LBN: Elk Grove Dialysis Center Llc
Elk Grove Dialysis is an health care organization with primary practice located at 9281 Office Park Cir Ste 105, Elk Grove CA 95758-8069. 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.
Elk Grove Dialysis Center Llc can be contacted via phone (916) 691-0480, or through Wey, Samuel T via phone (615) 341-6641.
Contact Information
Primary practice address
9281 Office Park Cir Ste 105
Elk Grove CA 95758-8069
Phone: (916) 691-0480
Fax: (916) 691-0488
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | 110000518 | California |
Profile Details
NPI number | 1568421865 |
---|---|
LBN Legal business name | Elk Grove Dialysis Center Llc |
DBA Doing business as | Elk Grove Dialysis |
Authorized official | Wey, Samuel T |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 23rd, 2006 |
Last updated | Apr 22nd, 2024 - about 8 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568421865 | NPPES |
California | MEDICAID | 1568421865 |
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