Satellite Wellbound Of North Modesto

LBN: Wellbound Of Modesto Llc
Satellite Wellbound Of North Modesto is an health care organization with primary practice located at 4207 Bangs Ave Ste 200, Modesto CA 95356-8714. 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. Wellbound Of Modesto Llc can be contacted via phone (209) 338-2540, or through Del Bene, Susan L via phone (650) 404-3618.

Contact Information

Primary practice address
4207 Bangs Ave Ste 200 Modesto CA 95356-8714
Phone: (209) 338-2540
Fax: (209) 543-3897
Website:
Map and Directions
Authorized official contact:
Name: Del Bene, Susan L
Phone: (650) 404-3618

Health care specialties

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

Profile Details

NPI number 1841634144
LBN Legal business name Wellbound Of Modesto Llc
DBA Doing business as Satellite Wellbound Of North Modesto
Authorized official Del Bene, Susan L
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 18th, 2013
Last updated Dec 29th, 2016 - about 8 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 1841634144 NPPES
California MEDICAID 1841634144

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