Southeastern Dialysis Center Elizabethtown

LBN: Total Renal Care Of North Carolina Llc
Southeastern Dialysis Center Elizabethtown is an health care organization with primary practice located at 101 Dialysis Dr , Elizabethtown NC 28337-9048. 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) 862-7022, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
101 Dialysis Dr Elizabethtown NC 28337-9048
Phone: (910) 862-7022
Fax: (910) 862-6312
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

Profile Details

NPI number 1710947973
LBN Legal business name Total Renal Care Of North Carolina Llc
DBA Doing business as Southeastern Dialysis Center Elizabethtown
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2006
Last updated Jan 29th, 2024 - about 11 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 1710947973 NPPES
North Carolina MEDICAID 3412578

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