Defuniak Springs Dialysis

LBN: Total Renal Care Inc
Defuniak Springs Dialysis is an health care organization with primary practice located at 1045 Us Highway 331 S , Defuniak Springs FL 32435-3375. 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 (850) 892-1345, or through Hilger, Jim via phone (283) 382-1919.

Contact Information

Primary practice address
1045 Us Highway 331 S Defuniak Springs FL 32435-3375
Phone: (850) 892-1345
Fax: (850) 892-2371
Website:
Map and Directions
Authorized official contact:
Name: Hilger, Jim
Phone: (283) 382-1919

Health care specialties

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

Profile Details

NPI number 1558524488
LBN Legal business name Total Renal Care Inc
DBA Doing business as Defuniak Springs Dialysis
Authorized official Hilger, Jim
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2008
Last updated Mar 9th, 2010 - about 15 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 1558524488 NPPES
Florida MEDICAID 001752800

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