South Philadelphia Dialysis Center

LBN: Renal Treatment Centers Northeast Inc
South Philadelphia Dialysis Center is an health care organization with primary practice located at 109 Dickinson St , Philadelphia PA 19147-6107. 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 Northeast Inc can be contacted via phone (215) 468-6616, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
109 Dickinson St Philadelphia PA 19147-6107
Phone: (215) 468-6616
Fax: (215) 271-1180
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1518929280
LBN Legal business name Renal Treatment Centers Northeast Inc
DBA Doing business as South Philadelphia Dialysis Center
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2006
Last updated Jan 10th, 2024 - about 10 months 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 1518929280 NPPES
Pennsylvania MEDICAID 100729430 0031

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