North Sacramento Dialysis

LBN: Goliad Dialysis Llc
North Sacramento Dialysis is an health care organization with primary practice located at 251 Lathrop Way Ste A, Sacramento CA 95815-4223. 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. Goliad Dialysis Llc can be contacted via phone (916) 922-4721, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
251 Lathrop Way Ste A Sacramento CA 95815-4223
Phone: (916) 922-4721
Fax: (916) 922-2189
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 550002055 California

Profile Details

NPI number 1427322411
LBN Legal business name Goliad Dialysis Llc
DBA Doing business as North Sacramento Dialysis
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2012
Last updated Jun 10th, 2024 - about last year

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 1427322411 NPPES
California MEDICAID 1427322411

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