Carlisle Regional Dialysis

LBN: Wooten Dialysis Llc
Carlisle Regional Dialysis is an health care organization with primary practice located at 419 Village Dr Ste 10, Carlisle PA 17015-6943. 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. Wooten Dialysis Llc can be contacted via phone (717) 218-5104, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
419 Village Dr Ste 10 Carlisle PA 17015-6943
Phone: (717) 218-5104
Fax: (717) 241-0019
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1225380181
LBN Legal business name Wooten Dialysis Llc
DBA Doing business as Carlisle Regional Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2012
Last updated May 9th, 2024 - about last year

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 1225380181 NPPES
Pennsylvania MEDICAID 102844600 0001

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