Northridge Dialysis

LBN: Isd Renal Inc
Northridge Dialysis is an health care organization with primary practice located at 139 Market Place Dr , North Augusta SC 29860-9274. 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 Renal Inc can be contacted via phone (803) 279-2628, or through Winstel, John via phone (253) 733-4501.

Contact Information

Primary practice address
139 Market Place Dr North Augusta SC 29860-9274
Phone: (803) 279-2628
Fax: (803) 279-2578
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John
Phone: (253) 733-4501

Health care specialties

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

Profile Details

NPI number 1285171454
LBN Legal business name Isd Renal Inc
DBA Doing business as Northridge Dialysis
Authorized official Winstel, John
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2017
Last updated Aug 31st, 2020 - about 5 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 1285171454 NPPES
South Carolina MEDICAID RE0089

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