Lodi Dialysis Center

LBN: Total Renal Care Inc
Lodi Dialysis Center is an health care organization with primary practice located at 1610 W Kettleman Ln Ste D , Lodi CA 95242-4210. 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 (209) 334-9888, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
1610 W Kettleman Ln Ste D Lodi CA 95242-4210
Phone: (209) 334-9888
Fax: (209) 333-0888
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 110000465 California

Profile Details

NPI number 1528027349
LBN Legal business name Total Renal Care Inc
DBA Doing business as Lodi Dialysis Center
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2006
Last updated Apr 19th, 2024 - about 8 months 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 1528027349 NPPES
California MEDICAID 1528027349

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