Waycross Dialysis Facility, Inc
LBN: Waycross Dialysis Facility, Inc
Waycross Dialysis Facility, Inc is an health care organization with primary practice located at 220 Uvalda St , Waycross GA 31501-4569. 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.
Waycross Dialysis Facility, Inc can be contacted via phone (912) 285-2487, or through Maramreddy, Padmanabh via phone (912) 285-2487.
Contact Information
Primary practice address
220 Uvalda St
Waycross GA 31501-4569
Phone: (912) 285-2487
Fax: (912) 287-1731
Website:
Authorized official contact:
Name: Maramreddy, Padmanabh Doctor of Medicine (MD)
Phone: (912) 285-2487
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X |
Profile Details
| NPI number | 1083601678 |
|---|---|
| LBN Legal business name | Waycross Dialysis Facility, Inc |
| DBA Doing business as | |
| Authorized official | Maramreddy, Padmanabh Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Oct 7th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083601678 | NPPES |
| Georgia | MEDICAID | 000192772A | |
| Georgia | MEDICAID | 000183719D | |
| Georgia | Other | 51000007 | |
| Georgia | MEDICAID | 000408944A |
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