Deerfield Beach Dialysis

LBN: Patoka Dialysis Llc
Deerfield Beach Dialysis is an health care organization with primary practice located at 1983 W Hillsboro Blvd , Deerfield Beach FL 33442-1418. 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. Patoka Dialysis Llc can be contacted via phone (954) 426-3350, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
1983 W Hillsboro Blvd Deerfield Beach FL 33442-1418
Phone: (954) 426-3350
Fax: (954) 426-5275
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1336570647
LBN Legal business name Patoka Dialysis Llc
DBA Doing business as Deerfield Beach Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2013
Last updated Oct 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336570647 NPPES
Florida MEDICAID 010868500

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