Southeastern Dialysis Center Jacksonville

LBN: Total Renal Care Of North Carolina Llc
Southeastern Dialysis Center Jacksonville is an health care organization with primary practice located at 14 Office Park Dr , Jacksonville NC 28546-7325. 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 Of North Carolina Llc can be contacted via phone (910) 353-6888, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
14 Office Park Dr Jacksonville NC 28546-7325
Fax: (910) 353-6839
Website:
Authorized official contact:
Name: Wey, Samuel T

Health care specialties

Profile Details

NPI number 1346209970
LBN Legal business name Total Renal Care Of North Carolina Llc
DBA Doing business as Southeastern Dialysis Center Jacksonville
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2006
Last updated May 31st, 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 1346209970 NPPES
North Carolina MEDICAID 3422532

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