Broomall Dialysis

LBN: Total Renal Care Inc
Broomall Dialysis is an health care organization with primary practice located at 2835 W Chester Pike Ste 2, Broomall PA 19008-1833. 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. Total Renal Care Inc can be contacted via phone (610) 356-2719, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
2835 W Chester Pike Ste 2 Broomall PA 19008-1833
Phone: (610) 356-2719
Fax: (610) 356-3647
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1275967671
LBN Legal business name Total Renal Care Inc
DBA Doing business as Broomall Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2013
Last updated Nov 10th, 2023 - about 2 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 1275967671 NPPES
Pennsylvania MEDICAID 1007734290038

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