Orangeburg Dialysis Clinic
LBN: Nra-Orangeburg, South Carolina, Llc
Orangeburg Dialysis Clinic is an health care organization with primary practice located at 1184 Orangeburg Mall Cir , Orangeburg SC 29115-3439. 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.
Nra-Orangeburg, South Carolina, Llc can be contacted via phone (803) 531-7501, or through Blanton, Barry L. via phone (781) 699-9000.
Contact Information
Primary practice address
1184 Orangeburg Mall Cir
Orangeburg SC 29115-3439
Phone: (803) 531-7501
Fax: (803) 531-7553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | ERD-131 | South Carolina |
Profile Details
| NPI number | 1114974516 |
|---|---|
| LBN Legal business name | Nra-Orangeburg, South Carolina, Llc |
| DBA Doing business as | Orangeburg Dialysis Clinic |
| Authorized official | Blanton, Barry L. |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 30th, 2006 |
| Last updated | Oct 17th, 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 | 1114974516 | NPPES |
| South Carolina | Other | 42D1011036 | CLIA CERTIFICATE OF WAIVE |
| South Carolina | MEDICAID | ERD131 | CLIA CERTIFICATE OF WAIVE |
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