Northwest Georgia Dialysis

LBN: Isd Canton Llc
Northwest Georgia Dialysis is an health care organization with primary practice located at 260 Hospital Rd , Canton GA 30114-2409. 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. Isd Canton Llc can be contacted via phone (678) 880-3939, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
260 Hospital Rd Canton GA 30114-2409
Phone: (678) 880-3939
Fax: (770) 479-9466
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X ESRD001260 Georgia

Profile Details

NPI number 1366480832
LBN Legal business name Isd Canton Llc
DBA Doing business as Northwest Georgia Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Feb 28th, 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 1366480832 NPPES
Georgia MEDICAID 377703973A

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