Aviation Blvd Dialysis

LBN: Victory Dialysis Llc
Aviation Blvd Dialysis is an health care organization with primary practice located at 6934 Aviation Blvd Ste K, Glen Burnie MD 21061-2593. 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. Victory Dialysis Llc can be contacted via phone (410) 553-6951, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
6934 Aviation Blvd Ste K Glen Burnie MD 21061-2593
Phone: (410) 553-6951
Fax: (410) 766-0513
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 E2631 Maryland

Profile Details

NPI number 1255623534
LBN Legal business name Victory Dialysis Llc
DBA Doing business as Aviation Blvd Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2011
Last updated Jul 11th, 2024 - about 5 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 1255623534 NPPES
Maryland MEDICAID 402823600
Maryland MEDICAID 0351575 00

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