Wellbound Of Modesto

LBN: Wellbound Of Modesto Llc
Wellbound Of Modesto is an health care organization with primary practice located at 1315 10Th St Suite 100, Modesto CA 95354-0714. 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) 238-4080, or through Weinberg, Thomas L via phone (214) 736-2700.

Contact Information

Primary practice address
1315 10Th St Suite 100 Modesto CA 95354-0714
Phone: (209) 238-4080
Fax: (209) 238-4084
Website:
Map and Directions
Authorized official contact:
Name: Weinberg, Thomas L
Phone: (214) 736-2700

Health care specialties

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

Profile Details

NPI number 1932171972
LBN Legal business name Wellbound Of Modesto Llc
DBA Doing business as Wellbound Of Modesto
Authorized official Weinberg, Thomas L
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 3rd, 2006
Last updated May 15th, 2024 - about 4 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 1932171972 NPPES
California MEDICAID CDC52524F

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