Satilla River Dialysis

LBN: Total Renal Care Inc
Satilla River Dialysis is an health care organization with primary practice located at 308 Carswell Ave , Waycross GA 31501-4762. 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 (912) 285-1663, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
308 Carswell Ave Waycross GA 31501-4762
Fax: (912) 285-3078
Website:
Authorized official contact:
Name: Wey, Samuel

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X ESRD000754 Georgia

Profile Details

NPI number 1538392071
LBN Legal business name Total Renal Care Inc
DBA Doing business as Satilla River Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2009
Last updated May 16th, 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 1538392071 NPPES
Georgia MEDICAID 003104403A

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