Marymont Dialysis Center

LBN: Sakdc - Davita Dialysis Partners Lp
Marymont Dialysis Center is an health care organization with primary practice located at 2391 Ne Loop 410 Ste 211, San Antonio TX 78217-5675. 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. Sakdc - Davita Dialysis Partners Lp can be contacted via phone (210) 646-8788, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
2391 Ne Loop 410 Ste 211 San Antonio TX 78217-5675
Phone: (210) 646-8788
Fax: (210) 646-9324
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 008252 Texas

Profile Details

NPI number 1598728339
LBN Legal business name Sakdc - Davita Dialysis Partners Lp
DBA Doing business as Marymont Dialysis Center
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2006
Last updated Jun 13th, 2024 - about 6 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 1598728339 NPPES
Texas MEDICAID 176474802

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