Griffin Dialysis

LBN: Renal Treatment Centers Mid Atlantic Inc
Griffin Dialysis is an health care organization with primary practice located at 731 S 8Th St , Griffin GA 30224-4818. 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 Mid Atlantic Inc can be contacted via phone (770) 227-1717, or through Usilton, Thomas O via phone (770) 541-7922.

Contact Information

Primary practice address
731 S 8Th St Griffin GA 30224-4818
Phone: (770) 227-1717
Fax: (770) 227-4048
Website:
Map and Directions
Authorized official contact:
Name: Usilton, Thomas O
Phone: (770) 541-7922

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X ESRD001112 Georgia

Profile Details

NPI number 1922077965
LBN Legal business name Renal Treatment Centers Mid Atlantic Inc
DBA Doing business as Griffin Dialysis
Authorized official Usilton, Thomas O
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Nov 19th, 2008 - about 16 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 1922077965 NPPES
Georgia MEDICAID 000407459A
Georgia MEDICAID LA=1791709

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