St. John Dialysis, Llc

LBN: St. John Dialysis, Llc
St. John Dialysis, Llc is an health care organization with primary practice located at 1923 East 21St Street , Tulsa OK 74114-1402. 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. St. John Dialysis, Llc can be contacted via phone (918) 744-3535, or through Gottschalk, Sr. M. Therese via phone (918) 744-2180.

Contact Information

Primary practice address
1923 East 21St Street Tulsa OK 74114-1402
Phone: (918) 744-3535
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gottschalk, Sr. M. Therese
Phone: (918) 744-2180

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 2265 Oklahoma

Profile Details

NPI number 1902984156
LBN Legal business name St. John Dialysis, Llc
DBA Doing business as
Authorized official Gottschalk, Sr. M. Therese
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 2nd, 2006
Last updated Feb 12th, 2008 - about 16 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 1902984156 NPPES
Oklahoma Other 000370114002 BCBS

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