Renal Center Of Storm Lake

LBN: Renal Center Of Storm Lake, Llc
Renal Center Of Storm Lake is an health care organization with primary practice located at 1426 Lake Ave , Storm Lake IA 50588-1910. 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. Renal Center Of Storm Lake, Llc can be contacted via phone (712) 732-6900, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
1426 Lake Ave Storm Lake IA 50588-1910
Phone: (712) 732-6900
Fax: (712) 732-6906
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 1588611107
LBN Legal business name Renal Center Of Storm Lake, Llc
DBA Doing business as Renal Center Of Storm Lake
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Jun 10th, 2024 - about last year

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 1588611107 NPPES
Iowa MEDICAID 0625186

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