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
Phone: (910) 353-6888
Fax: (910) 353-6839
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346209970 | NPPES |
North Carolina | MEDICAID | 3422532 |
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