Carrollwood Dialysis
LBN: Mammoth Dialysis Llc
Carrollwood Dialysis is an health care organization with primary practice located at 14358 N Dale Mabry Hwy , Tampa FL 33618-2018. 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.
Mammoth Dialysis Llc can be contacted via phone (813) 960-3751, or through Wey, Samuel T via phone (615) 341-6641.
Contact Information
Primary practice address
14358 N Dale Mabry Hwy
Tampa FL 33618-2018
Phone: (813) 960-3751
Fax: (813) 961-7312
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X |
Profile Details
NPI number | 1275810905 |
---|---|
LBN Legal business name | Mammoth Dialysis Llc |
DBA Doing business as | Carrollwood Dialysis |
Authorized official | Wey, Samuel T |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 9th, 2011 |
Last updated | Aug 8th, 2023 - about 2 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 | 1275810905 | NPPES |
Florida | MEDICAID | 006349500 |
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