Memphis Street Renal Center

LBN: Isd Renal Inc
Memphis Street Renal Center is an health care organization with primary practice located at 3310 Memphis St , Philadelphia PA 19134-4510. 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 (215) 739-9558, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
3310 Memphis St Philadelphia PA 19134-4510
Phone: (215) 739-9558
Fax: (215) 739-9586
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

Profile Details

NPI number 1376580464
LBN Legal business name Isd Renal Inc
DBA Doing business as Memphis Street Renal Center
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Jun 4th, 2024 - about 6 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 1376580464 NPPES
Pennsylvania MEDICAID 1020290100001

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