St Louis Park Dialysis Center

LBN: Renal Treatment Centers-Illinois Inc.
St Louis Park Dialysis Center is an health care organization with primary practice located at 3505 Louisiana Ave S , St Louis Park MN 55426-4121. 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 Treatment Centers-Illinois Inc. can be contacted via phone (952) 285-1400, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
3505 Louisiana Ave S St Louis Park MN 55426-4121
Phone: (952) 285-1400
Fax: (952) 285-1406
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 1447214812
LBN Legal business name Renal Treatment Centers-Illinois Inc.
DBA Doing business as St Louis Park Dialysis Center
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2006
Last updated May 23rd, 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 1447214812 NPPES
Minnesota MEDICAID 564120900

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