Westside Dialysis Unit Llc

LBN: Westside Dialysis Unit Llc
Westside Dialysis Unit Llc is an health care organization with primary practice located at 1515 Kanis Park Dr Suite A, Little Rock AR 72205-4569. 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. Westside Dialysis Unit Llc can be contacted via phone (501) 603-9277, or through Ejiofor, Moses C via phone (501) 603-9277.

Contact Information

Primary practice address
1515 Kanis Park Dr Suite A Little Rock AR 72205-4569
Phone: (501) 603-9277
Fax: (501) 603-9877
Website:
Map and Directions
Authorized official contact:
Name: Ejiofor, Moses C Doctor of Medicine (MD)
Phone: (501) 603-9277

Health care specialties

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

Profile Details

NPI number 1619274735
LBN Legal business name Westside Dialysis Unit Llc
DBA Doing business as
Authorized official Ejiofor, Moses C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2011
Last updated Jul 21st, 2022 - about 3 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 1619274735 NPPES
Arkansas MEDICAID 211230134

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