Fox Valley Dialysis Ltd

LBN: Fox Valley Dialysis Ltd
Fox Valley Dialysis Ltd is an health care organization with primary practice located at 1300 Waterford Dr , Aurora IL 60504-5502. 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. Fox Valley Dialysis Ltd can be contacted via phone (630) 236-1300, or through Ganong, Calvin via phone (630) 851-1206.

Contact Information

Primary practice address
1300 Waterford Dr Aurora IL 60504-5502
Phone: (630) 236-1300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ganong, Calvin
Phone: (630) 851-1206

Health care specialties

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

Profile Details

NPI number 1912900192
LBN Legal business name Fox Valley Dialysis Ltd
DBA Doing business as
Authorized official Ganong, Calvin
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Aug 22nd, 2020 - about 4 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 1912900192 NPPES
Illinois Other 644 BLUE CROSS PROVIDER NUMBE

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