Normandy Village Dialysis Center
LBN: Southwest Jacksonville Dialysis Center Llc
Normandy Village Dialysis Center is an health care organization with primary practice located at 1584 Normandy Village Parkway Suite 29, Jacksonville FL 32221-6600. 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.
Southwest Jacksonville Dialysis Center Llc can be contacted via phone (904) 781-7272, or through Brady, Sara Anne via phone (208) 371-7878.
Contact Information
Primary practice address
1584 Normandy Village Parkway Suite 29
Jacksonville FL 32221-6600
Phone: (904) 781-7272
Fax: (904) 781-4282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X |
Profile Details
| NPI number | 1134399397 |
|---|---|
| LBN Legal business name | Southwest Jacksonville Dialysis Center Llc |
| DBA Doing business as | Normandy Village Dialysis Center |
| Authorized official | Brady, Sara Anne |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 4th, 2008 |
| Last updated | Jan 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134399397 | NPPES |
| Florida | MEDICAID | 000739000 |
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