Kidney Treatment Center Northwest P A
LBN: Kidney Treatment Center Northwest P A
Kidney Treatment Center Northwest P A is an health care organization with primary practice located at 3939 Medical Dr Ste 110, San Antonio TX 78229-2292. 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.
Kidney Treatment Center Northwest P A can be contacted via phone (210) 692-3075, or through Medola, Jessica J via phone (210) 692-1515.
Contact Information
Primary practice address
3939 Medical Dr Ste 110
San Antonio TX 78229-2292
Phone: (210) 692-3075
Fax: (210) 692-0187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | 007316 | Texas |
Profile Details
| NPI number | 1568466506 |
|---|---|
| LBN Legal business name | Kidney Treatment Center Northwest P A |
| DBA Doing business as | |
| Authorized official | Medola, Jessica J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Jan 25th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568466506 | NPPES |
| Texas | MEDICAID | 1452880-02 | |
| Texas | MEDICAID | 0943250-02 | |
| Texas | Other | HH6407 |
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