Montgomery Renal Center Llc.

LBN: Montgomery Renal Center Llc.
Montgomery Renal Center Llc. is an health care organization with primary practice located at 12401 Middlebrook Rd Ste 160, Germantown MD 20874-1523. 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. Montgomery Renal Center Llc. can be contacted via phone (301) 540-6020, or through Corteling, Aleister via phone (240) 361-0625.

Contact Information

Primary practice address
12401 Middlebrook Rd Ste 160 Germantown MD 20874-1523
Phone: (301) 540-6020
Fax: (301) 540-6030
Website:
Map and Directions
Authorized official contact:
Name: Corteling, Aleister
Phone: (240) 361-0625

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X E2625 Maryland

Profile Details

NPI number 1902801681
LBN Legal business name Montgomery Renal Center Llc.
DBA Doing business as
Authorized official Corteling, Aleister
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2005
Last updated May 25th, 2011 - about 13 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 1902801681 NPPES
Maryland MEDICAID 400446900

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