Hawthorn Kidney Center Llc

LBN: Hawthorn Kidney Center Llc
Hawthorn Kidney Center Llc is an health care organization with primary practice located at 537 Faunce Corner Rd , Dartmouth MA 02747-1242. 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. Hawthorn Kidney Center Llc can be contacted via phone (508) 994-9692, or through Brady, Sara Anne via phone (208) 371-7878.

Contact Information

Primary practice address
537 Faunce Corner Rd Dartmouth MA 02747-1242
Phone: (508) 994-9692
Fax: (508) 991-8983
Website:
Map and Directions
Authorized official contact:
Name: Brady, Sara Anne
Phone: (208) 371-7878

Health care specialties

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

Profile Details

NPI number 1366758252
LBN Legal business name Hawthorn Kidney Center Llc
DBA Doing business as
Authorized official Brady, Sara Anne
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2010
Last updated Jan 13th, 2023 - about 2 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 1366758252 NPPES
Massachusetts MEDICAID 110087758A

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