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
Fax: (210) 692-0187
Website:
Authorized official contact:
Name: Medola, Jessica J

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568466506 NPPES
Texas MEDICAID 1452880-02
Texas MEDICAID 0943250-02
Texas Other HH6407

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