Mississippi Gateway Dialysis

LBN: Total Renal Care Inc
Mississippi Gateway Dialysis is an health care organization with primary practice located at 3960 Coon Rapids Blvd Nw Ste 309 , Coon Rapids MN 55433-2589. 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 (763) 421-8717, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
3960 Coon Rapids Blvd Nw Ste 309 Coon Rapids MN 55433-2589
Phone: (763) 421-8717
Fax: (763) 421-4789
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

Profile Details

NPI number 1861456337
LBN Legal business name Total Renal Care Inc
DBA Doing business as Mississippi Gateway Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2006
Last updated May 1st, 2024 - about 4 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 1861456337 NPPES
Minnesota MEDICAID 827826100

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