U.S. Renal Care Tumon Dialysis

LBN: Rsa - Tumon, Llc
U.S. Renal Care Tumon Dialysis is an health care organization with primary practice located at 1406 N Marine Corps Dr Ste A , Tamuning GU 96913-4310. 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. Rsa - Tumon, Llc can be contacted via phone (671) 646-3773, or through Blanton, Barry L. via phone (781) 699-9000.

Contact Information

Primary practice address
1406 N Marine Corps Dr Ste A Tamuning GU 96913-4310
Phone: (671) 646-3773
Fax: (671) 647-2026
Website:
Map and Directions
Authorized official contact:
Name: Blanton, Barry L.
Phone: (781) 699-9000

Health care specialties

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

Profile Details

NPI number 1790090678
LBN Legal business name Rsa - Tumon, Llc
DBA Doing business as U.S. Renal Care Tumon Dialysis
Authorized official Blanton, Barry L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 16th, 2010
Last updated Oct 23rd, 2023 - 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 1790090678 NPPES
Guam MEDICAID 583

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