Comprehensive Renal Care Michigan City

LBN: Trc - Indiana Llc
Comprehensive Renal Care Michigan City is an health care organization with primary practice located at 9836 W 400 N , Michigan City IN 46360-2910. 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. Trc - Indiana Llc can be contacted via phone (219) 878-1989, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
9836 W 400 N Michigan City IN 46360-2910
Phone: (219) 878-1989
Fax: (219) 878-9569
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 1659334431
LBN Legal business name Trc - Indiana Llc
DBA Doing business as Comprehensive Renal Care Michigan City
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2006
Last updated Sep 1st, 2023 - 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 1659334431 NPPES
Indiana MEDICAID 200315330D
Indiana MEDICAID 4355783

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