Victory Dialysis

LBN: Total Renal Care Inc
Victory Dialysis is an health care organization with primary practice located at 2401 Shelby St , Columbus GA 31903-3360. 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 (706) 682-5327, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
2401 Shelby St Columbus GA 31903-3360
Phone: (706) 682-5327
Fax: (706) 682-6059
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 ESRD000693 Georgia

Profile Details

NPI number 1437568771
LBN Legal business name Total Renal Care Inc
DBA Doing business as Victory Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2014
Last updated May 22nd, 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 1437568771 NPPES
Georgia Other 11D2065715 CLIA CERTIFICATE OF WAIVER
Georgia MEDICAID 003142285A CLIA CERTIFICATE OF WAIVER

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