Stockton Kidney Center

LBN: Roose Dialysis Llc
Stockton Kidney Center is an health care organization with primary practice located at 1523 E March Ln Ste 200, Stockton CA 95210-5607. 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. Roose Dialysis Llc can be contacted via phone (209) 472-3300, or through Wey, Samuel T. via phone (615) 341-6641.

Contact Information

Primary practice address
1523 E March Ln Ste 200 Stockton CA 95210-5607
Phone: (209) 472-3300
Fax: (209) 472-0900
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 550000652 California

Profile Details

NPI number 1790929826
LBN Legal business name Roose Dialysis Llc
DBA Doing business as Stockton Kidney Center
Authorized official Wey, Samuel T.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2009
Last updated Mar 14th, 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 1790929826 NPPES
California MEDICAID 1790929826

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