Athens East Dialysis

LBN: Total Renal Care Inc
Athens East Dialysis is an health care organization with primary practice located at 2026 S Milledge Ave Ste A2, Athens GA 30605-6480. 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) 549-3082, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
2026 S Milledge Ave Ste A2 Athens GA 30605-6480
Phone: (706) 549-3082
Fax: (706) 549-3802
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 ESRD000782 Georgia

Profile Details

NPI number 1558556514
LBN Legal business name Total Renal Care Inc
DBA Doing business as Athens East Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2007
Last updated Jan 29th, 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 1558556514 NPPES
Georgia MEDICAID 000828462C

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