Indian River Dialysis Center

LBN: Indian River Dialysis Center Llc
Indian River Dialysis Center is an health care organization with primary practice located at 2150 45Th St Unit 102 , Vero Beach FL 32967-6281. 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. Indian River Dialysis Center Llc can be contacted via phone (772) 567-2529, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
2150 45Th St Unit 102 Vero Beach FL 32967-6281
Phone: (772) 567-2529
Fax: (772) 567-2587
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

Profile Details

NPI number 1528113156
LBN Legal business name Indian River Dialysis Center Llc
DBA Doing business as Indian River Dialysis Center
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Apr 18th, 2024 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528113156 NPPES
Florida MEDICAID 892619100

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