South Shore Dialysis Center

LBN: South Shore Dialysis Center Lp
South Shore Dialysis Center is an health care organization with primary practice located at 212 Gulf Fwy S Ste G3, League City TX 77573-3956. 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. South Shore Dialysis Center Lp can be contacted via phone (281) 554-6050, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
212 Gulf Fwy S Ste G3 League City TX 77573-3956
Phone: (281) 554-6050
Fax: (281) 316-1385
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 008213 Texas

Profile Details

NPI number 1700840592
LBN Legal business name South Shore Dialysis Center Lp
DBA Doing business as South Shore Dialysis Center
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2006
Last updated Mar 11th, 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 1700840592 NPPES
Texas MEDICAID 183410302

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