Space City Dialysis Center Llc

LBN: Space City Dialysis Center Llc
Space City Dialysis Center Llc is an health care organization with primary practice located at 6518 Memorial Dr , Texas City TX 77591-4056. 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. Space City Dialysis Center Llc can be contacted via phone (409) 965-0318, or through Brady, Sara Anne via phone (208) 371-7878.

Contact Information

Primary practice address
6518 Memorial Dr Texas City TX 77591-4056
Phone: (409) 965-0318
Fax: (409) 965-0319
Website:
Map and Directions
Authorized official contact:
Name: Brady, Sara Anne
Phone: (208) 371-7878

Health care specialties

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

Profile Details

NPI number 1699051037
LBN Legal business name Space City Dialysis Center Llc
DBA Doing business as
Authorized official Brady, Sara Anne
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2011
Last updated Jan 10th, 2023 - about 3 years 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 1699051037 NPPES
Texas MEDICAID 332410501

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