Tri-Cities Dialysis Llc

LBN: Tri-Cities Dialysis Llc
Tri-Cities Dialysis Llc is an health care organization with primary practice located at 306 Randall Rd , Geneva IL 60134-4200. 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. Tri-Cities Dialysis Llc can be contacted via phone (630) 262-1306, or through Ganong, Calvin via phone (630) 851-1206.

Contact Information

Primary practice address
306 Randall Rd Geneva IL 60134-4200
Phone: (630) 262-1306
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ganong, Calvin
Phone: (630) 851-1206

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1982607156
LBN Legal business name Tri-Cities Dialysis Llc
DBA Doing business as
Authorized official Ganong, Calvin
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Jun 19th, 2008 - about 16 years 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 1982607156 NPPES
Illinois Other 50019 BLUE CROSS NUMBER

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