Mills Dialysis Center

LBN: Mills-Peninsula Health Services
Mills Dialysis Center is an health care organization with primary practice located at 100 S San Mateo Dr , San Mateo CA 94401-3805. 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. Mills-Peninsula Health Services can be contacted via phone (650) 696-5400, or through Hunter, Brian Trent via phone (916) 297-8555.

Contact Information

Primary practice address
100 S San Mateo Dr San Mateo CA 94401-3805
Fax: (650) 652-3052
Website:
Authorized official contact:
Name: Hunter, Brian Trent

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 052340 California

Profile Details

NPI number 1851335335
LBN Legal business name Mills-Peninsula Health Services
DBA Doing business as Mills Dialysis Center
Authorized official Hunter, Brian Trent
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2006
Last updated Feb 27th, 2014 - about 10 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 1851335335 NPPES
California MEDICAID CDC03516F

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